Active NPI
Candice Dawn Bolander, APRN
- Acute Care Nurse Practitioner
- Harvey, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 231112
- Practice address
- 2845 Manhattan Blvd
Harvey, LA 70058-2987 - Phone
- (504) 349-6930
- NPI assigned
- Oct 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 231112 | LA | Primary |
Addresses
Primary practice location
2845 Manhattan Blvd
Harvey, LA 70058-2987
Mailing address
2845 Manhattan Blvd
Harvey, LA 70058-2987
Phone (504) 349-6930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3909 Lapalco Blvd
Suite 100
Harvey, LA 70058-2377
Phone (504) 349-6900
Hospital & facility affiliations
- West Jefferson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- Quality
- 68.02
- Improvement activities
- 40
- Cost
- 76.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231112 | LA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Orleans Physician Services Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
2845 Manhattan Blvd
Harvey, LA 70058
Phone (504) 349-6930
3909 Lapalco Blvd
Ste 100
Harvey, LA 70058
Phone (504) 349-6900
3909 Lapalco Blvd
Harvey, LA 70058
Phone (504) 347-5511
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1396169678
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1902686124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 MANHATTAN BLVD",
"city": "HARVEY",
"state": "LA",
"postal_code": "700582987",
"telephone_number": "504-349-6930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 MANHATTAN BLVD",
"city": "HARVEY",
"state": "LA",
"postal_code": "700582987",
"telephone_number": "504-349-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLANDER",
"first_name": "CANDICE",
"middle_name": "DAWN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-04",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "231112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.