MANDY BOLTZ MD
NPI 1124481353
Family Medicine in Phoenix, AZ
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mandy Boltz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mandy Boltz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85034
- Reassigned Medicare billing, Arizona enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PHOENIX, AZ 85006
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.
Which organization bills Medicare for Mandy Boltz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Boltz reassigns Medicare benefits to Wesley Community Center Inc (Phoenix, AZ). 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 Mandy Boltz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mandy Boltz accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 3 other insurers 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.
# Mandy Boltz, MD · NPI 1124481353
Family Medicine physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 4, 2016.
## Identity
- **NPI:** 1124481353 (Entity type: Individual)
- **Enumerated:** April 4, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2222222 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1300 N 12TH ST, SUITE 605, Phoenix, AZ 85006-2848
- **Phone:** (602) 839-4567
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wesley Community Center Inc (NPI 1396910436, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1124481353) · Data from the CMS NPPES public registry.