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KRISTA D BOLANGER PA
NPI 1073651337
Physician Assistant - Medical in Dayton, OH

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
9000 N MAIN ST, SUITE 227, DAYTON, OH 45415(937) 832-4773(937) 832-2986 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Krista D Bolanger Pa NPPES

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

KRISTA D BOLANGER PA (NPI 1073651337) is an individual medical provider in Dayton, Ohio, licensed in Ohio (50 002179) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1073651337
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTA D BOLANGERCredential: PA
Location Address9000 N MAIN ST, SUITE 227Dayton, OH 45415-1180
Mailing Address9000 N Main St, Suite 227Dayton, OH 45415-1180 · (937) 832-4773 · Fax (937) 832-2986
Phone(937) 832-4773
Fax(937) 832-2986
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 1, 2007
Last NPPES UpdateOctober 23, 2018
✔ NPI 1073651337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 50 002179
9000 N MAIN ST, Dayton, OH 45415
Open in Google Maps ↗

Other Identifiers 1

Medicaid0067813OH

Accepted Insurance

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

Krista D Bolanger Pa 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 ID5597733832
PECOS Enrollment IDI20040923000700
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

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.

MS. NIKI FRANCES HARRY CST
9000 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 836-3118
DR. SUSAN M EMMERLING MD
Obstetrics & Gynecology
9000 N MAIN ST, SUITE 232
DAYTON, OH 45415
Montgomery County (937) 277-8988
CARLA RENEE KING CNM
Advanced Practice Midwife
9000 N MAIN ST, SUITE 232
DAYTON, OH 45415
Montgomery County (937) 277-8988
INFECTIOUS DISEASE PHYSICIANS OF DAYTON LLC
Internal Medicine (Infectious Disease)
9000 N MAIN ST, INFUSION SERVICES
DAYTON, OH 45415
Montgomery County (937) 279-5803
NON-INVASIVE INTERPRETATIONS LLC
Internal Medicine (Cardiovascular Disease)
9000 N MAIN ST, STE 101
DAYTON, OH 45415
Montgomery County (938) 832-2425
BENJAMIN DELOSS MISHLER PA-C, AT
Family Medicine
9000 N MAIN ST
ENGLEWOOD, OH 45415
Montgomery County (260) 223-5666
BRIAN D LEWIS MD
Orthopaedic Surgery
9000 N MAIN ST, STE 227
DAYTON, OH 45415
Montgomery County (937) 832-4773
DOUGLAS E MCCAFFERTY PA
Physician Assistant
9000 N MAIN ST, STE 227
DAYTON, OH 45415
Montgomery County (937) 832-4773

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 Krista Bolanger's NPI number?

The NPI number for Krista Bolanger is 1073651337. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Krista Bolanger located?

Krista Bolanger practices at 9000 N Main St Suite 227, Dayton, OH 45415. The listed phone number is (937) 832-4773.

What is Krista Bolanger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Krista Bolanger enrolled in Medicare?

Yes. Krista Bolanger 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.

What insurance does Krista Bolanger accept?

Health plans from CareSource and MedMutual list Krista Bolanger 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.

Is Krista Bolanger affiliated with any hospitals?

According to CMS data, Krista Bolanger is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Krista Bolanger was last updated on October 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.