MRS. LEEANN BOLGEN FNP-C
NPI 1205506995
Nurse Practitioner - Family in Clearwater, FL
About Mrs. Leeann Bolgen Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LEEANN BOLGEN FNP-C (NPI 1205506995) is an individual family provider in Clearwater, Florida, licensed in Florida (11049262) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (2021).
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 and accepts Medicare assignment
Mrs. Leeann Bolgen Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Leeann Bolgen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
American Falls, ID 83211
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1609874932 (Idaho)
- 6 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Portneuf Medical Center
Acute Care Hospitals · Pocatello, IDPower County Hospital District
Critical Access Hospitals · American Falls, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Leeann Bolgen's NPI number?
The NPI number for Leeann Bolgen is 1205506995. It was assigned to this individual provider in the NPPES registry on September 15, 2021.
Where is Leeann Bolgen located?
Leeann Bolgen practices at 18167 Us Highway 19 N Ste 605, Clearwater, FL 33764. The listed phone number is (208) 221-7777.
What is Leeann Bolgen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Leeann Bolgen enrolled in Medicare?
Yes. Leeann Bolgen 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 Leeann Bolgen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leeann Bolgen reassigns Medicare benefits to Power County Hospital District (American Falls, ID). 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 Leeann Bolgen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Leeann Bolgen accept?
Health plans from Molina Healthcare and PacificSource Health Plans list Leeann Bolgen 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.
Is Leeann Bolgen affiliated with any hospitals?
According to CMS data, Leeann Bolgen is affiliated with Portneuf Medical Center and Power County Hospital District.
When was this NPI record last updated?
The NPPES record for Leeann Bolgen was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Leeann Bolgen, FNP-C · NPI 1205506995
Family physician in Clearwater, Florida. Individual provider, active in the CMS NPPES registry since September 15, 2021.
## Identity
- **NPI:** 1205506995 (Entity type: Individual)
- **Enumerated:** September 15, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11049262 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 18167 US HIGHWAY 19 N STE 605, Clearwater, FL 33764-3528
- **Phone:** (208) 221-7777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Power County Hospital District (NPI 1093810442, American Falls, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** October 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205506995) · Data from the CMS NPPES public registry.