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JOSEPHINE PANGAN BOLIVAR-KERNS NP
NPI 1013661347
Nurse Practitioner - Family in Fairfax, VA

Active since February 06, 2022PECOS EnrolledAccepts Medicare Assignment
9299 TOWER SIDE DR APT 438, FAIRFAX, VA 22031(414) 939-6346 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2022, Feb 6, 2022 (2 updates tracked since 2022).

About Josephine Pangan Bolivar-kerns Np NPPES

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

JOSEPHINE PANGAN BOLIVAR-KERNS NP (NPI 1013661347) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024183581) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013661347
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOSEPHINE PANGAN BOLIVAR-KERNSCredential: NP
Location Address9299 TOWER SIDE DR APT 438Fairfax, VA 22031-6032
Mailing Address9299 Tower Side Dr Apt 438Fairfax, VA 22031-6032 · (414) 939-6346
Phone(414) 939-6346
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 6, 2022
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1013661347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024183581
9299 TOWER SIDE DR APT 438, Fairfax, VA 22031
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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 and accepts Medicare assignment

Josephine Pangan Bolivar-kerns Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729454251
PECOS Enrollment IDI20221025000030, I20221025002960
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
161 services74 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
148 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Josephine Bolivar-kerns's NPI number?

The NPI number for Josephine Bolivar-kerns is 1013661347. It was assigned to this individual provider in the NPPES registry on February 6, 2022.

Where is Josephine Bolivar-kerns located?

Josephine Bolivar-kerns practices at 9299 Tower Side Dr Apt 438, Fairfax, VA 22031. The listed phone number is (414) 939-6346.

What is Josephine Bolivar-kerns's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Josephine Bolivar-kerns enrolled in Medicare?

Yes. Josephine Bolivar-kerns is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Josephine Bolivar-kerns was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.