Kathryn Dorweiler Bolt, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2729 Issued in CO

Practice address

1601 E 19TH Ave Ste 6250
Denver, CO 80218-1291

Phone

(303) 563-2755

Fax

(303) 861-6219

NPI assigned

Jan 28, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthone Clinic Services-Surgical Specialties LLCGroup PAC ID 2365537768, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA HealthOne Presbyterian St. Lukes Hospital, Denver, CO, CCN 060014

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathryn.dorweiler@hca3.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthone Clinic Services-Surgical Specialties LLC

  • Surgery Physician
  • Denver, CO
  • NPI 1639376585
  Medicare reassignment Care Compare group
• Steadman Clinic Professional LLC

  • Specialist
  • Vail, CO
  • NPI 1952327835
  NPD (past)
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Healthone LLC

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1720038946
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1588841035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 6250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181291",
            "telephone_number": "303-563-2755",
            "fax_number": "303-861-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 6250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181291",
            "telephone_number": "303-563-2755",
            "fax_number": "303-861-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLT",
        "first_name": "KATHRYN",
        "middle_name": "DORWEILER",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68603533",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO PA BOARD",
            "identifier": "2729",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Bollinger
• Lindsay Bollwahn
• Jannie Maria Bolotnikov, MD, MPH
• David Bolshoun, M.D.
• Lisa C Bolster, MA, MFT
• William Todd Bolthouse, MD
• Allison Beals Bolton, MS
• Brooklynn Bolton
• Benjamin Robert Bombach
• Holly Mae Bomer

• Surgical Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.