Cristina Smith Bolin, DNP APRNC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3011085 Issued in KY

Practice address

9880 Angies Way
Suite 420
Louisville, KY 40241-2851

Phone

(502) 629-5400

Fax

(502) 629-5492

NPI assigned

Feb 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TN, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Kentucky College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Internal Medicine Associates of Houston PLLCGroup PAC ID 8820379472, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
• Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
• Memorial Hermann Rehabilitation Hospital Katy Inpatient rehabilitation facility, Katy, TX, CCN 673038

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christina.bolin@tdfp.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.

• Premier Internal Medicine Associates of Houston PLLC

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1407306947
  Medicare reassignment Care Compare group NPD
• Ut Regional One Physicians Inc

  • Surgery Physician
  • Memphis, TN
  • NPI 1093130585
  Medicare reassignment NPD
• Ut Regional One Physicians Inc

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1285042028
  NPD
• Thomas G. Diaz M.D,P.a.

  • Primary Care Clinic/Center
  • Katy, TX
  • NPI 1174711501
  NPD (past)

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

• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1154595155

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1275568032

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Pasadena, TX
  • NPI 1437323482

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1588838593

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1639343635

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1740233782
  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Sugar Land, TX
  • NPI 1841465697

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Katy, TX
  • NPI 1932152337
  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1952575904

  Hospital

  Care Compare affiliation
• Memorial Hermann Rehabilitation Hospital Katy, LLC

  • Rehabilitation Hospital
  • Katy, TX
  • NPI 1043457583

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1790224699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 ANGIES WAY",
            "address_2": "SUITE 420",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412851",
            "telephone_number": "502-629-5400",
            "fax_number": "502-629-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "CRISTINA",
        "middle_name": "SMITH",
        "credential": "DNP APRNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011085",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24728",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50125255",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "226541",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001074358",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100471030",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K218100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaina Danielle Bolden
• Faith Marie Boles
• Mary Maiio Bolgan
• Ashley Bolger, APRN
• Brent L Bolin, MD
• Erica Bolin, RN
• Jeffrey Tyler Bolin, MS, BCBA, LBA
• Santia Bolin, RBT
• Brenda S. Boling
• Jennifer Ann Boling, DPT

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.