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MANDY BOLTZ MD
NPI 1124481353
Family Medicine in Phoenix, AZ

Active since April 04, 2016PECOS Enrolled
1300 N 12TH ST, SUITE 605, PHOENIX, AZ 85006(602) 839-4567 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mandy Boltz Md NPPES

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

MANDY BOLTZ MD (NPI 1124481353) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (2222222) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124481353
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMANDY BOLTZCredential: MD
Location Address1300 N 12TH ST, SUITE 605Phoenix, AZ 85006-2848
Mailing Address1300 N 12th St, Suite 605Phoenix, AZ 85006-2848 · (602) 839-4567
Phone(602) 839-4567
Sole ProprietorYes
Enumeration DateApril 4, 2016
✔ NPI 1124481353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 2222222
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1300 N 12TH ST, Phoenix, AZ 85006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona 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)

Mandy Boltz Md 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 85006 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

DR. DIANA LYNELLE DABELL M.D.
Emergency Medicine
1300 N 12TH ST, STE 301
PHOENIX, AZ 85006
Maricopa County (602) 839-6968
PINNACLE COLON AND RECTAL SURGEONS, PLLC
Specialist
1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006
Maricopa County (602) 714-5482
INTERNISTS, ONCOLOGISTS LTD
Internal Medicine (Hematology & Oncology)
1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006
Maricopa County (602) 258-4875
PHILIP KACZAR MD PC
Internal Medicine
1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006
Maricopa County (602) 252-3967
BARBARA J RUNQUIST NP
Nurse Practitioner
1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006
Maricopa County (602) 839-0265
DR. ROBERT DEAN RIERSON MD
Obstetrics & Gynecology
1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006
Maricopa County (602) 839-4915
MISS FARRAH L BLACK PA
Physician Assistant (Medical)
1300 N 12TH ST, STE 500
PHOENIX, AZ 85006
Maricopa County (602) 839-2606
VIKTORIA KRAJNC MD
Family Medicine
1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006
Maricopa County (602) 839-5271

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 Mandy Boltz's NPI number?

The NPI number for Mandy Boltz is 1124481353. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Mandy Boltz located?

Mandy Boltz practices at 1300 N 12th St Suite 605, Phoenix, AZ 85006. The listed phone number is (602) 839-4567.

What is Mandy Boltz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mandy Boltz enrolled in Medicare?

Yes. Mandy Boltz is registered in the Medicare PECOS enrollment system.

What insurance does Mandy Boltz accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Mandy Boltz 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 Mandy Boltz was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.