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MS. CLAIRE MARIE BOLAN N.P.
NPI 1053632968
Nurse Practitioner - Family in Port Chester, NY

Active since June 15, 2010PECOS EnrolledAccepts Medicare Assignment
5 GRACE CHURCH ST, PORT CHESTER, NY 10573(914) 937-8899(914) 941-8626 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Claire Marie Bolan N.p. NPPES

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

MS. CLAIRE MARIE BOLAN N.P. (NPI 1053632968) is an individual family provider in Port Chester, New York, licensed in New York (F336287-1) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1053632968
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. CLAIRE MARIE BOLANCredential: N.P.
Location Address5 GRACE CHURCH STPort Chester, NY 10573-4911
Mailing Address165 Main StOssining, NY 10562-4702 · (914) 941-1263 · Fax (914) 941-8626
Phone(914) 937-8899
Fax(914) 941-8626
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 15, 2010
Last NPPES UpdateSeptember 23, 2019
✔ NPI 1053632968 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 NY · F336287-1
5 GRACE CHURCH ST, Port Chester, NY 10573
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Claire Marie Bolan N.p. 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 ID6002090552
PECOS Enrollment IDI20110408000002
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 Reassignments

2

Medicare enrollment records show Claire Bolan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Open Door Family Medical Center Inc
Same address
Federally Qualified Health Center (FQHC)
5 GRACE CHURCH ST
Port Chester, NY 10573
  • Reassigned Medicare billing, New York enrollment
  • 149 clinicians in this Medicare group
NPI 1285893719 (914) 937-8899
Sun River Health Inc
17 mi
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1740763275 (855) 681-8700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10573 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

PAULETTE P PORTEOUS-COLE D.D.S.
Dentist (General Practice)
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Westchester County (914) 937-8899
ROLANDO MANUEL ALVAREZ
Health Educator
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Westchester County (914) 406-8252
SHARON P TYNDALL MD
Pediatrics
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Westchester County (914) 937-8899
MEGHAN MCSHERRY
Nurse Practitioner (Family)
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Westchester County (914) 937-8899
PAMELA JACKSON PA-C
Physician Assistant
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Westchester County (914) 937-8899
MRS. MARY ELIZABETH WHITE R.N., F.N.P
Nurse Practitioner (Family)
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Westchester County (914) 937-8899
DENISSE RODRIGUEZ
Social Worker
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Westchester County (914) 937-8899
PATRICIA LABRUNDA O.D
Optometrist
5 GRACE CHURCH ST, OPTOMETRY
PORT CHESTER, NY 10573
Westchester County (914) 937-8899

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 Claire Bolan's NPI number?

The NPI number for Claire Bolan is 1053632968. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is Claire Bolan located?

Claire Bolan practices at 5 Grace Church St, Port Chester, NY 10573. The listed phone number is (914) 937-8899.

What is Claire Bolan's specialty?

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

Is Claire Bolan enrolled in Medicare?

Yes. Claire Bolan 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.

Which organizations bill Medicare for Claire Bolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Bolan reassigns Medicare benefits to 2 organizations: Open Door Family Medical Center Inc (Port Chester, NY) and Sun River Health Inc (Bronx, NY). Each 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 Claire Bolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Claire Bolan was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.