Maryanne Bolt, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

98345 Issued in OK

Practice address

2488 E 81St St Ste 2000
Tulsa, OK 74137-4224

Phone

(918) 481-4700

Fax

(918) 592-2020

NPI assigned

Oct 15, 2015

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

Medicare fee-for-service enrollment

Enrolled in OK

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

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arvid Lade MD PLCGroup PAC ID 5890075550, 10 clinicians

Vincent Bryan DO PLCGroup PAC ID 4486031473, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Adult Gastroenterology Associates Inc

  • Gastroenterology Physician
  • Tulsa, OK
  • NPI 1306884812
  Medicare reassignment NPD
• Advanced Wound Therapy

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1922719095
  Medicare reassignment NPD
• Usacs Observation Medicine Services of Oklahoma, LLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1326739111
  Medicare reassignment NPD
• Tulsa Hospital Medicine Physicians Group, LLC

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1144982711
  Medicare reassignment
• Arvid Lade MD PLC

  • Skilled Nursing Facility
  • Bixby, OK
  • NPI 1861845125
  Care Compare group
• Vincent Bryan DO PLC

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1609510940
  Care Compare group

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1912378050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 2000",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374224",
            "telephone_number": "918-592-9020",
            "fax_number": "918-481-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 2000",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374224",
            "telephone_number": "918-481-4700",
            "fax_number": "918-592-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 S Horsebarn Rd",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588795",
            "country_code": "US",
            "telephone_number": "479-844-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLT",
        "first_name": "MARYANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "98345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bold Dental LLC
• Lamara Faye Bolden
• Pat S. Bolding, MD
• Gabriel J Bolender, MD
• Jorge Alejandro Bolinaga, PHARM D.
• Alexia Bolte, MMFT
• Kristen Bolte
• Spenser Bolte
• Catherine Bolton
• Kathryn Elizabeth Bolton, PT

• Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.