ALEXIS RAE BOLTON
NPI 1215546197
Nurse Practitioner - Family in Downey, CA

Active since July 28, 2020PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
11500 BROOKSHIRE AVE, DOWNEY, CA 90241(562) 904-5000(562) 904-5140 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2020, Jul 28, 2020 (2 updates tracked since 2020).

About Alexis Rae Bolton NPPES

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

ALEXIS RAE BOLTON (NPI 1215546197) is an individual family provider in Downey, California, licensed in California (95014147) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215546197
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXIS RAE BOLTON
Location Address11500 BROOKSHIRE AVEDowney, CA 90241-4917
Mailing Address11500 Brookshire AveDowney, CA 90241-4917 · (562) 904-5000 · Fax (562) 904-5140
Fax(562) 904-5140
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 28, 2020
Last NPPES UpdateMarch 29, 20222 updates tracked since enumeration
NPPES CertifiedMarch 29, 2022
NPI 1215546197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95014147
11500 BROOKSHIRE AVE, Downey, CA 90241

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexis Rae Bolton 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 ID1759709439
PECOS Enrollment IDI20200911001737
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.

Areas of Expertise CMS Part B claims

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.

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
35 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90241 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Improvement Activities40
Cost59.29

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.

Student in an Organized Health Care Education/Training Program
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Emergency Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Emergency Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Internal Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Hospitalist
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Anesthesiology
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Family Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Family Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241

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 Alexis Bolton's NPI number?

The NPI number for Alexis Bolton is 1215546197. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Alexis Bolton located?

Alexis Bolton practices at 11500 Brookshire Ave, Downey, CA 90241. The listed phone number is (562) 904-5000.

What is Alexis Bolton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alexis Bolton enrolled in Medicare?

Yes. Alexis Bolton 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.

When was this NPI record last updated?

The NPPES record for Alexis Bolton was last updated on March 29, 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.