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CAILYN EVE BOLDUC PA-C
NPI 1215748355
Physician Assistant - Medical in Enfield, CT

Active since January 17, 2025PECOS Enrolled
701 ENFIELD ST, ENFIELD, CT 06082(860) 741-6058(413) 733-5860 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cailyn Eve Bolduc Pa-c NPPES

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

CAILYN EVE BOLDUC PA-C (NPI 1215748355) is an individual medical provider in Enfield, Connecticut, licensed in Connecticut (7213) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215748355
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCAILYN EVE BOLDUCCredential: PA-C
Location Address701 ENFIELD STEnfield, CT 06082-2961
Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-3909
Phone(860) 741-6058
Fax(413) 733-5860
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 17, 2025
Last NPPES UpdateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1215748355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 7213
701 ENFIELD ST, Enfield, CT 06082
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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)

Cailyn Eve Bolduc Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284158353
PECOS Enrollment IDI20260108000705
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.

Other Providers at the Same Location NPPES 15

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

SPINE DYNAMICS, INC.
Chiropractor
701 ENFIELD ST, SUITE 170
ENFIELD, CT 06082
Capitol Planning Region (860) 741-2187
KARA MARIE SAWYER MSN, NP-C
Nurse Practitioner
701 ENFIELD ST
ENFIELD, CT 06082
Capitol Planning Region (860) 741-6058
PIONEER VALLEY CARDIOLOGY ASSOCIATES ,INC.
Internal Medicine (Cardiovascular Disease)
701 ENFIELD ST
ENFIELD, CT 06082
Capitol Planning Region (860) 741-6058
JULIE M WONDOLOWSKI PA-C
Physician Assistant (Medical)
701 ENFIELD ST
ENFIELD, CT 06082
Capitol Planning Region (860) 741-6058
KAITLIN G. PULITO P.A.-C
Physician Assistant (Medical)
701 ENFIELD ST
ENFIELD, CT 06082
Capitol Planning Region (860) 741-6058
MS. KAREN L KRUSTAPENTUS APRN, BC
Nurse Practitioner
701 ENFIELD ST, SPRINGFIELD MEDICAL ASSOCIATES
ENFIELD, CT 06082
Capitol Planning Region (860) 741-6058
ROSEMARIE THOMPSON, RD
Dietitian, Registered
701 ENFIELD ST, SUITE 202
ENFIELD, CT 06082
Capitol Planning Region (860) 741-3222
ROSEMARIE THOMPSON RD
Dietitian, Registered
701 ENFIELD ST, SUITE 202
ENFIELD, CT 06082
Capitol Planning Region (860) 741-3222

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 Cailyn Bolduc's NPI number?

The NPI number for Cailyn Bolduc is 1215748355. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Where is Cailyn Bolduc located?

Cailyn Bolduc practices at 701 Enfield St, Enfield, CT 06082. The listed phone number is (860) 741-6058.

What is Cailyn Bolduc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Cailyn Bolduc enrolled in Medicare?

Yes. Cailyn Bolduc is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cailyn Bolduc was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.