ALISA BOLTON
NPI 1063194603
Nurse Anesthetist, Certified Registered in Bethlehem, PA
About Alisa Bolton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISA BOLTON (NPI 1063194603) is an individual nurse anesthetist, certified registered in Bethlehem, Pennsylvania, licensed in Pennsylvania (RN696039) and active in the NPI registry since August 2023. She is affiliated with St Lukes Quakertown Hospital, maintains a secondary practice location in Norristown, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Alisa 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.
Medicare Billing Reassignments
2Medicare enrollment records show Alisa Bolton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bethlehem, PA 18017
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Bethlehem, PA 18015
- Reassigned Medicare billing, Pennsylvania enrollment
- 290 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Quakertown Hospital
Acute Care Hospitals · Quakertown, PASt Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PAGrand View Health
Acute Care Hospitals · Sellersville, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Alisa Bolton's NPI number?
The NPI number for Alisa Bolton is 1063194603. It was assigned to this individual provider in the NPPES registry on August 3, 2023.
Where is Alisa Bolton located?
Alisa Bolton practices at 2545 Schoenersville Rd, Bethlehem, PA 18017. The listed phone number is (610) 402-6164.
What is Alisa Bolton's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Alisa Bolton enrolled in Medicare?
Yes. Alisa Bolton 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 Alisa Bolton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Bolton reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Bethlehem, PA) and Anesthesia Specialists Of Bethlehem, PC (Bethlehem, PA). 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 Alisa Bolton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Alisa Bolton affiliated with any hospitals?
According to CMS data, Alisa Bolton is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem and Grand View Health.
When was this NPI record last updated?
The NPPES record for Alisa Bolton was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Alisa Bolton · NPI 1063194603
Nurse Anesthetist, Certified Registered physician in Bethlehem, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 3, 2023.
## Identity
- **NPI:** 1063194603 (Entity type: Individual)
- **Enumerated:** August 3, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN696039 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2545 SCHOENERSVILLE RD, Bethlehem, PA 18017-7300
- **Phone:** (610) 402-6164
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1164666376, Bethlehem, PA); Anesthesia Specialists Of Bethlehem, PC (NPI 1851349302, Bethlehem, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063194603) · Data from the CMS NPPES public registry.