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

Active since February 08, 2006PECOS Enrolled
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431(253) 968-1440(253) 968-0443 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2024, Jun 10, 2020, Mar 6, 2019 and 1 more (4 updates tracked since 2016).

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 Tacoma, 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 Address9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTERTacoma, WA 98431-1100
Mailing AddressMadigan Army Medical Center 9040 Jackson AveTacoma, WA 98431-1100 · (253) 968-1440 · Fax (253) 968-0443
Phone(253) 968-1440
Fax(253) 968-0443
Sole ProprietorNo
Enumeration DateFebruary 8, 2006
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ 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)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, Tacoma, WA 98431
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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 98431 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 20

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

AMANDA CARPENTER COUSINS MD
Obstetrics & Gynecology (Gynecologic Oncology)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (301) 295-4000
BERNADETTE KUCHINSKY LCSW
Social Worker (Clinical)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-2252
ASHLEY ELIZABETH SMITH M.D.
Pediatrics
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (330) 541-3102
KENNETH JAY ROBLES SELERIO CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2252
DR. DELNORA ERICKSON M.D.
Radiology (Radiation Oncology)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-2252
AMY TYLER MALLORY-SMITH LICSW
Social Worker (Clinical)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (206) 851-7427
ASHLEY N VARGAS LCSW
Social Worker (Clinical)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-4851
DR. MUHAMMAD AYUB MD
Family Medicine
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-5779

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 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431. The listed phone number is (253) 968-1440.

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 August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.