Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRIANNA BOLEWARE
NPI 1104667997
Nurse Practitioner - Family in Weirton, WV

Active since June 04, 2024PECOS Enrolled
651 COLLIERS WAY STE 506, WEIRTON, WV 26062(304) 723-3600(304) 981-4908 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brianna Boleware NPPES

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

BRIANNA BOLEWARE (NPI 1104667997) is an individual family provider in Weirton, West Virginia, licensed in West Virginia (120392) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wheeling, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104667997
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRIANNA BOLEWARE
Location Address651 COLLIERS WAY STE 506Weirton, WV 26062-5054
Mailing AddressPo Box 779Morgantown, WV 26507-0779 · (304) 797-6200
Fax(304) 981-4908
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 4, 2024
Last NPPES UpdateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
NPI 1104667997 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 WV · 120392
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0036482 (OH)
651 COLLIERS WAY STE 506, Weirton, WV 26062

Secondary Practice Location 1

Location 124 Homestead AveWheeling, WV 26003-6638 · Phone (304) 232-1020

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

Brianna Boleware 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 ID6608399498
PECOS Enrollment IDI20250402002176
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 26062 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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

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

Family Medicine
651 COLLIERS WAY STE 506
WEIRTON, WV 26062

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 Brianna Boleware's NPI number?

The NPI number for Brianna Boleware is 1104667997. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Brianna Boleware located?

Brianna Boleware practices at 651 Colliers Way Ste 506, Weirton, WV 26062. The listed phone number is (304) 723-3600.

What is Brianna Boleware's specialty?

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

Is Brianna Boleware enrolled in Medicare?

Yes. Brianna Boleware 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.

When was this NPI record last updated?

The NPPES record for Brianna Boleware was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.