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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA BLAIR BOLEN
NPI 1003437146
Medical Genetics - Clinical Genetics (M.D.) in Oklahoma City, OK

Active since April 29, 2020PECOS Enrolled
1803 N BLACKWELDER AVE, OKLAHOMA CITY, OK 73106(713) 449-3517 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Blair Bolen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BLAIR BOLEN (NPI 1003437146) is an individual clinical genetics (m.d.) provider in Oklahoma City, Oklahoma, licensed in Texas (W5744) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003437146
Entity TypeIndividualFemale
Primary Taxonomy207SG0201X
Provider Legal NameJESSICA BLAIR BOLEN
Location Address1803 N BLACKWELDER AVEOklahoma City, OK 73106-4222
Mailing Address1803 N Blackwelder AveOklahoma City, OK 73106-4222
Phone(713) 449-3517
Sole ProprietorNo
Enumeration DateApril 29, 2020
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1003437146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in TX · W5744
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
1803 N BLACKWELDER AVE, Oklahoma City, OK 73106
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Blair Bolen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bolen's NPI number?

The NPI number for Jessica Bolen is 1003437146. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Jessica Bolen located?

Jessica Bolen practices at 1803 N Blackwelder Ave, Oklahoma City, OK 73106. The listed phone number is (713) 449-3517.

What is Jessica Bolen's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Jessica Bolen enrolled in Medicare?

Yes. Jessica Bolen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Bolen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.