MYCHAL BOLTON
NPI 1043890304
Psychiatry & Neurology - Psychiatry in Owensboro, KY

Q: What is Mychal Bolton's NPI number?

The NPI number for Mychal Bolton is 1043890304. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Q: What is Mychal Bolton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Mychal Bolton was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment

1100 WALNUT ST, OWENSBORO, KY 42301(270) 689-6500(270) 827-4671 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mychal Bolton NPPES

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

MYCHAL BOLTON (NPI 1043890304) is an individual psychiatry provider in Owensboro, Kentucky, licensed in Kentucky (06195) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2020).

NPPES Registry Identity

NPI1043890304

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMYCHAL BOLTON

Location Address1100 WALNUT STOwensboro, KY 42301-2956

Mailing AddressPo Box 1637Owensboro, KY 42302-1637 · (270) 689-6500

Phone(270) 689-6500

Fax(270) 827-4671

Sole ProprietorNo

Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2020

Enumeration DateApril 12, 2021

Last NPPES UpdateOctober 1, 2025

NPPES CertifiedOctober 1, 2025

✔ NPI 1043890304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in KY · 06195✔ Licensed in IN · 02007052A

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1100 WALNUT ST, Owensboro, KY 42301

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Secondary Practice Location 1

Location 1618 N Green StHenderson, KY 42420-2949 · Phone (270) 826-1978 · Fax (270) 827-4671

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Mychal Bolton 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 ID8820499783

PECOS Enrollment IDI20240830002242, I20250815001667

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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

22 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42301 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

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MALLORY ROSE LUTES

Counselor