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 Webster, TX

Active since April 29, 2020PECOS Enrolled
250 BLOSSOM ST FL 4, WEBSTER, TX 77598(409) 772-3466 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Jul 13, 2026 (2 updates tracked since 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 Webster, Texas, licensed in Texas (W5744) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of University Of Oklahoma College Of Medicine (2021).

NPPES Registry Identity

NPI1003437146
Entity TypeIndividualFemale
Primary Taxonomy207SG0201X
Provider Legal NameJESSICA BLAIR BOLEN
Location Address250 BLOSSOM ST FL 4Webster, TX 77598-4204
Mailing Address1803 N Blackwelder AveOklahoma City, OK 73106-4222
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2021
Enumeration DateApril 29, 2020
Last NPPES UpdateOctober 26, 20262 updates tracked since enumeration
NPPES CertifiedOctober 26, 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.
250 BLOSSOM ST FL 4, Webster, TX 77598

Secondary Practice Location 1

Location 11803 N Blackwelder AveOklahoma City, OK 73106-4222 · Phone (713) 449-3517

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6103390752
PECOS Enrollment IDI20260706000161
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Bolen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Trauma Surgery)
250 BLOSSOM ST FL 4
WEBSTER, TX 77598
Psychiatry & Neurology (Vascular Neurology)
250 BLOSSOM ST FL 4
WEBSTER, TX 77598
Psychologist
250 BLOSSOM ST FL 4
WEBSTER, TX 77598
Surgery (Vascular Surgery)
250 BLOSSOM ST FL 4
WEBSTER, TX 77598
Psychiatry & Neurology (Vascular Neurology)
250 BLOSSOM ST FL 4
WEBSTER, TX 77598
Physician Assistant
250 BLOSSOM ST FL 4
WEBSTER, TX 77598
Nurse Practitioner (Family)
250 BLOSSOM ST FL 4
WEBSTER, TX 77598
Genetic Counselor, MS
250 BLOSSOM ST FL 4
WEBSTER, TX 77598

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 250 Blossom St Fl 4, Webster, TX 77598. The listed phone number is (409) 772-3466.

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.

Which organization bills Medicare for Jessica Bolen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bolen reassigns Medicare benefits to Utmb Faculty Group Practice (Galveston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Bolen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Bolen accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Jessica Bolen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Bolen was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.