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

MELISSA A BOLL CNM
NPI 1124080775
Midwife in Cottonwood Heights, UT

Active since April 06, 2006PECOS Enrolled
6975 S UNION PARK CTR STE 600, COTTONWOOD HEIGHTS, UT 84047(888) 731-8994(888) 732-8119 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2026, Mar 20, 2025, Sep 22, 2024 (3 updates tracked since 2024).

About Melissa A Boll Cnm NPPES

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

MELISSA A BOLL CNM (NPI 1124080775) is an individual midwife in Cottonwood Heights, Utah, licensed in Utah (5713781-4402) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1124080775
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMELISSA A BOLLCredential: CNM
Location Address6975 S UNION PARK CTR STE 600Cottonwood Heights, UT 84047-4187
Mailing Address6975 S Union Park Ctr Ste 600Cottonwood Heights, UT 84047-4187 · (888) 731-8994 · Fax (833) 775-1861
Phone(888) 731-8994
Fax(888) 732-8119
Sole ProprietorNo
Enumeration DateApril 6, 2006
Last NPPES UpdateSeptember 9, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1124080775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in UT · 5713781-4402
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
6975 S UNION PARK CTR STE 600, Cottonwood Heights, UT 84047
Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa A Borrack Cnm

Secondary Practice Locations 4

Location 1195 Page Mill RdPalo Alto, CA 94306-2072 · Phone (801) 731-8994 · Fax (833) 755-1861
Location 2One Sun Plaza 100 Sun Ave, Suite 650Albuquerque, NM 87109 · Phone (888) 731-8994 · Fax (833) 775-1861
Location 3111 N Orange Ave Ste 800Orlando, FL 32801-2381 · Phone (888) 731-8994
Location 421 E State St Ofc 233Columbus, OH 43215-4281 · Phone (888) 731-8994

Other Identifiers 1

MedicaidD5743UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa A Boll Cnm 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.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Boll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
0.2 mi
Mental Health (Including Community Mental Health Center)
1225 FORT UNION BLVD, SUITE 215
Midvale, UT 84047
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1891810867 (801) 442-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

AMAZE ABA UTAH
Behavior Analyst
6975 S UNION PARK CTR STE 600
MIDVALE, UT 84047
Salt Lake County (855) 425-4003
ANNA O'HEARON LCMHC
Counselor (Mental Health)
6975 S UNION PARK CTR STE 600
COTTONWOOD HEIGHTS, UT 84047
Salt Lake County (801) 915-7518
FALCK THERAPY
Counselor (Mental Health)
6975 S UNION PARK CTR STE 600
COTTONWOOD HEIGHTS, UT 84047
Salt Lake County (801) 449-1847
JULIE ANNE FRENETTE ARNP
Nurse Practitioner (Family)
6975 S UNION PARK CTR STE 600
COTTONWOOD HEIGHTS, UT 84047
Salt Lake County (888) 731-8994
CARECONNECTMD UTAH PC
General Practice
6975 S UNION PARK CTR STE 600
COTTONWOOD HEIGHTS, UT 84047
Salt Lake County (888) 789-9585
COOPER JAMES VENTURES CORP
In Home Supportive Care
6975 S UNION PARK CTR STE 600
MIDVALE, UT 84047
Salt Lake County (385) 396-1250

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 Melissa Boll's NPI number?

The NPI number for Melissa Boll is 1124080775. It was assigned to this individual provider in the NPPES registry on April 6, 2006. The provider is also known as Melissa A Borrack Cnm.

Where is Melissa Boll located?

Melissa Boll practices at 6975 S Union Park Ctr Ste 600, Cottonwood Heights, UT 84047. The listed phone number is (888) 731-8994.

What is Melissa Boll's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Melissa Boll enrolled in Medicare?

Yes. Melissa Boll is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Boll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Boll reassigns Medicare benefits to Ihc Health Services Inc (Midvale, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Boll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Boll accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Melissa Boll 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 Melissa Boll was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 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.