JENNI LAYNE BOLTON APRN-CNP, AGNP-C
NPI 1265032445
Nurse Practitioner - Adult Health in Troy, OH

Active since October 28, 2020PECOS Enrolled
550 SUMMIT AVE STE 101, TROY, OH 45373(937) 335-5191 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2021, Oct 28, 2020 (2 updates tracked since 2020).

About Jenni Layne Bolton Aprn-cnp, Agnp-c NPPES

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

JENNI LAYNE BOLTON APRN-CNP, AGNP-C (NPI 1265032445) is an individual adult health provider in Troy, Ohio, licensed in Ohio (0027579) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Beavercreek.

NPPES Registry Identity

NPI1265032445
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJENNI LAYNE BOLTONCredential: APRN-CNP, AGNP-C
Location Address550 SUMMIT AVE STE 101Troy, OH 45373-3047
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3100 · Fax (937) 223-9811
Sole ProprietorNo
Enumeration DateOctober 28, 2020
Last NPPES UpdateFebruary 9, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
✔ NPI 1265032445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · 0027579
550 SUMMIT AVE STE 101, Troy, OH 45373

Secondary Practice Location 1

Location 1111 Harbert DrBeavercreek, OH 45440-5117 · Phone (937) 208-7575 · Fax (937) 208-7590

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenni Layne Bolton Aprn-cnp, Agnp-c 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jenni Bolton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
55 ELVA CT
Vandalia, OH 45377
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Hospice and Palliative Medicine
7575 PARAGON RD
Dayton, OH 45459
  • Reassigned Medicare billing, Ohio enrollment
  • 65 clinicians in this Medicare group
Hospice and Palliative Medicine
22 CENTURY BLVD STE 220
Nashville, TN 37214
  • Reassigned Medicare billing, Ohio enrollment
  • 88 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Jenni Bolton's NPI number?

The NPI number for Jenni Bolton is 1265032445. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Jenni Bolton located?

Jenni Bolton practices at 550 Summit Ave Ste 101, Troy, OH 45373. The listed phone number is (937) 335-5191.

What is Jenni Bolton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jenni Bolton enrolled in Medicare?

Yes. Jenni Bolton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenni Bolton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenni Bolton reassigns Medicare benefits to 3 organizations: Mvhe Inc (Vandalia, OH), Pure Healthcare LLC (Dayton, OH) and Carelon Medical Partners, PC (Nashville, TN). Each 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 Jenni Bolton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenni Bolton accept?

Health plans from CareSource list Jenni Bolton 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.

When was this NPI record last updated?

The NPPES record for Jenni Bolton was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.