NATALIE ANN BOLIVAR NP
NPI 1083169296
Nurse Practitioner - Family in San Diego, CA

Active since August 17, 2016PECOS Enrolled
3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-8800 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2022, Aug 17, 2016 (2 updates tracked since 2016).

About Natalie Ann Bolivar Np NPPES

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

NATALIE ANN BOLIVAR NP (NPI 1083169296) is an individual family provider in San Diego, California, licensed in California (NP95004672) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083169296
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNATALIE ANN BOLIVARCredential: NP
Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Sole ProprietorNo
Enumeration DateAugust 17, 2016
Last NPPES UpdateMay 27, 20222 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
NPI 1083169296 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 CA · NP95004672
3020 CHILDRENS WAY, San Diego, CA 92123

Other Names 1

Former Name (1)Natalie Smith

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Natalie Ann Bolivar Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Pathology (Pediatric Pathology)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Physician Assistant
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Infectious Diseases)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Speech-Language Pathologist
3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123
Audiologist
3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123
Pediatrics
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123

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 Natalie Bolivar's NPI number?

The NPI number for Natalie Bolivar is 1083169296. It was assigned to this individual provider in the NPPES registry on August 17, 2016. The provider is also known as Natalie Smith.

Where is Natalie Bolivar located?

Natalie Bolivar practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8800.

What is Natalie Bolivar's specialty?

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

Is Natalie Bolivar enrolled in Medicare?

Yes. Natalie Bolivar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Natalie Bolivar was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.