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SHANNON ELOISE BOLT ARNP
NPI 1083006522
Nurse Practitioner - Family in Yakima, WA

Active since February 20, 2015PECOS EnrolledAccepts Medicare Assignment
4209 TIETON DR, YAKIMA, WA 98908(509) 654-9810(509) 966-8812 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Eloise Bolt Arnp NPPES

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

SHANNON ELOISE BOLT ARNP (NPI 1083006522) is an individual family provider in Yakima, Washington, licensed in Washington (AP61369683) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083006522
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON ELOISE BOLTCredential: ARNP
Location Address4209 TIETON DRYakima, WA 98908-3377
Mailing Address4209 Tieton DrYakima, WA 98908-3377 · (509) 654-9810 · Fax (509) 966-8812
Phone(509) 654-9810
Fax(509) 966-8812
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 20, 2015
Last NPPES UpdateNovember 21, 2022
NPPES CertifiedNovember 21, 2022
✔ NPI 1083006522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP61369683
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60528267 (WA)
4209 TIETON DR, Yakima, WA 98908
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Other Names 1

Former Name (1)Shannon Eloise Reis

Other Identifiers 3

OtherAP61369683WA · Washington State Department Of Health
OtherRN60528267WA · Washington State Department Of Health
OtherF10220605American Academy Of Nurse Practitioners Certification Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Shannon Eloise Bolt Arnp 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 ID6406227156
PECOS Enrollment IDI20230411002151
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 7

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
174 services37 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.
58 services48 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
48 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
32 services28 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98908 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 2

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

WELLS KURT LABBERTON
Dentist
4209 TIETON DR, SUITE 101
YAKIMA, WA 98908
Yakima County (509) 965-4209
DR. DAVID ALLEN CLARK DDS
Dentist (General Practice)
4209 TIETON DR, SUITE 102
YAKIMA, WA 98908
Yakima County (509) 966-2230

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 Shannon Bolt's NPI number?

The NPI number for Shannon Bolt is 1083006522. It was assigned to this individual provider in the NPPES registry on February 20, 2015. The provider is also known as Shannon Eloise Reis.

Where is Shannon Bolt located?

Shannon Bolt practices at 4209 Tieton Dr, Yakima, WA 98908. The listed phone number is (509) 654-9810.

What is Shannon Bolt's specialty?

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

Is Shannon Bolt enrolled in Medicare?

Yes. Shannon Bolt 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 Shannon Bolt accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shannon Bolt 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.

When was this NPI record last updated?

The NPPES record for Shannon Bolt was last updated on November 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.