Individual provider Active NPI

Valerie Bollenbacher, FNP-BC

  • Family Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1942600820
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009026A Issued in IN
Practice address
1606 N 7TH St
Terre Haute, IN 47804-2706
Phone
(812) 238-7523
Fax
(812) 238-7113
NPI assigned
Aug 28, 2014
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 205857 CT
Family Nurse Practitioner 363LF0000X 71009026A IN Primary

Addresses

Primary practice location

1606 N 7TH St
Terre Haute, IN 47804-2706

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 463-3101

Other practice location 1

130 Division St
Derby, CT 06418-1326
Phone (203) 735-7421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CT2 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

Enrollment IDStateProvider typePAC IDDetails
I20190722002059 IN Practitioner - Nurse Practitioner 9032339452 Reassigns benefits to 1 organization
I20230719000493 CT Practitioner - Nurse Practitioner 9032339452 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
205857CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Jun 18, 2019 Accepting new patients
Cep America LLC CurrentSince Jun 18, 2019 Accepting new patients
Alzheimer's Disease and Related Disorders Association, Inc CurrentSince Jan 13, 2017 Accepting new patients
Emergency Physicians of Connecticut PC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

130 Division St
Derby, CT 06418
Phone (203) 732-1330

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1414 W Fair Ave
Ste 201
Marquette, MI 49855
Phone (906) 225-4500

Interoperability endpoints

  • Direct secure messaging: valerie.bollenbacher.1@33201.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1942600820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-463-3101",
            "fax_number": "989-463-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042706",
            "telephone_number": "812-238-7523",
            "fax_number": "812-238-7113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Division St",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "CT",
            "postal_code": "064181326",
            "country_code": "US",
            "telephone_number": "203-735-7421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLENBACHER",
        "first_name": "VALERIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "205857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009026A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.