MS. MARY KATHLEEN BOLLES PMHNP
NPI 1124037957
Nurse Practitioner - Psychiatric/Mental Health in Austin, TX

Q: What is Mary Bolles's NPI number?

The NPI number for Mary Bolles is 1124037957. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Mary Bolles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bolles was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 08, 2006PECOS Enrolled

3705 MEDICAL PARKWAY, #450, AUSTIN MEDICAL PLAZA, AUSTIN, TX 78705(512) 306-0061(512) 306-0069 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ms. Mary Kathleen Bolles Pmhnp NPPES

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

MS. MARY KATHLEEN BOLLES PMHNP (NPI 1124037957) is an individual psychiatric/mental health provider in Austin, Texas, licensed in Texas (521247) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124037957

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. MARY KATHLEEN BOLLESCredential: PMHNP

Location Address3705 MEDICAL PARKWAY, #450, AUSTIN MEDICAL PLAZAAustin, TX 78705

Mailing Address3705 Medical Parkway #450, Austin Medical PlazaAustin, TX 78705 · (512) 306-0061 · Fax (512) 306-0069

Phone(512) 306-0061

Fax(512) 306-0069

Sole ProprietorNo

Enumeration DateAugust 8, 2006

Last NPPES UpdateOctober 28, 2015

✔ NPI 1124037957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 521247

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 13337 (TX)

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 521247 (TX)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Kathleen Bolles Pmhnp 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 78705 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

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 Mary Bolles's NPI number?

The NPI number for Mary Bolles is 1124037957. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Mary Bolles located?

Mary Bolles practices at 3705 Medical Parkway, #450 Austin Medical Plaza, Austin, TX 78705. The listed phone number is (512) 306-0061.

What is Mary Bolles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Bolles enrolled in Medicare?

Yes. Mary Bolles is registered in the Medicare PECOS enrollment system.

What insurance does Mary Bolles accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Mary Bolles 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 Mary Bolles was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.