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MERYLL ELLEN PAMPOLINA BOULDIN M.D.
NPI 1184086613
Emergency Medicine in Little Rock, AR

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
4301 WEST MARKHAM, SLOT 584, LITTLE ROCK, AR 72205(501) 526-2085(501) 320-7068 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2022, Mar 30, 2016, Mar 23, 2016 (3 updates tracked since 2016).

About Meryll Ellen Pampolina Bouldin M.d. NPPES

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

MERYLL ELLEN PAMPOLINA BOULDIN M.D. (NPI 1184086613) is an individual emergency medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-11841) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2016).

NPPES Registry Identity

NPI1184086613
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMERYLL ELLEN PAMPOLINA BOULDINCredential: M.D.
Location Address4301 WEST MARKHAM, SLOT 584Little Rock, AR 72205-7199
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Phone(501) 526-2085
Fax(501) 320-7068
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2016
Enumeration DateMarch 23, 2016
Last NPPES UpdateSeptember 8, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1184086613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AR · E-11841
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4301 WEST MARKHAM, SLOT 584, Little Rock, AR 72205
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Other Names 1

Former Name (1)Meryll Ellen Pampolina Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Meryll Ellen Pampolina Bouldin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870826704
PECOS Enrollment IDI20190610000417
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 Meryll Bouldin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Arkansas For Medical Sciences
Same address
Advanced Practice Midwife
4301 W MARKHAM ST # 783
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1043372220 (501) 686-8000

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
118 services116 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services49 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
24 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients
Ultrasound scan of chest 76604
An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 4

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

MCRAE MARIE WOOD MD
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, SLOT 584
LITTLE ROCK, AR 72205
Pulaski County (501) 350-0914
JACKSON YATES GIRARDEAU M.D
Emergency Medicine
4301 WEST MARKHAM, SLOT 584
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5356
ALEXANDRA TAYLOR DO
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, SLOT 584
LITTLE ROCK, AR 72205
Pulaski County (501) 214-2035
DR. KENNETH BRACH WILLIAMS MD
Emergency Medicine
4301 WEST MARKHAM, SLOT 584
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5515

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 Meryll Bouldin's NPI number?

The NPI number for Meryll Bouldin is 1184086613. It was assigned to this individual provider in the NPPES registry on March 23, 2016. The provider is also known as Meryll Ellen Pampolina MD.

Where is Meryll Bouldin located?

Meryll Bouldin practices at 4301 West Markham, Slot 584, Little Rock, AR 72205. The listed phone number is (501) 526-2085.

What is Meryll Bouldin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Meryll Bouldin enrolled in Medicare?

Yes. Meryll Bouldin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Meryll Bouldin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Meryll Bouldin reassigns Medicare benefits to University Of Arkansas For Medical Sciences (Little Rock, AR). 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 Meryll Bouldin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Meryll Bouldin was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.