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

DR. JODIE LYNN BOLT MD
NPI 1174596415
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Lakewood, WA

Q: What is Jodie Bolt's NPI number?

The NPI number for Jodie Bolt is 1174596415. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is Jodie Bolt's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Jodie Bolt was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 08, 2006PECOS Enrolled

12515 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499(253) 831-7796 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2026, Aug 22, 2024, Jun 10, 2020 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Jodie Lynn Bolt Md NPPES

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

DR. JODIE LYNN BOLT MD (NPI 1174596415) is an individual neurology with special qualifications in child neurology provider in Lakewood, Washington, licensed in Washington (MD00035673) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174596415

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameDR. JODIE LYNN BOLTCredential: MD

Location Address12515 GRAVELLY LAKE DR SWLakewood, WA 98499-1423

Mailing Address12515 Gravelly Lake Dr SwLakewood, WA 98499-1423

Phone(253) 831-7796

Sole ProprietorNo

Enumeration DateFebruary 8, 2006

Last NPPES UpdateNovember 3, 20265 updates tracked since enumeration

NPPES CertifiedNovember 3, 2026

✔ NPI 1174596415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

Licenses✔ Licensed in WA · MD00035673✔ Licensed in VA · 0101045084

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPsychiatry & Neurology · Neurodevelopmental DisabilitiesTaxonomy 2084P0005X · License 0101045084 (VA), MD00035673 (WA)

12515 GRAVELLY LAKE DR SW, Lakewood, WA 98499

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jodie Lynn Bolt 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 98499 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

LUKE RAYMOND BOLT MS, RDN, ACSM EP-C

Dietitian, Registered

12515 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499

Pierce County (253) 495-8191

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 Jodie Bolt's NPI number?

The NPI number for Jodie Bolt is 1174596415. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Jodie Bolt located?

Jodie Bolt practices at 12515 Gravelly Lake Dr SW, Lakewood, WA 98499. The listed phone number is (253) 831-7796.

What is Jodie Bolt's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Jodie Bolt enrolled in Medicare?

Yes. Jodie Bolt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jodie Bolt was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.