MRS. CAROL ANN BOLT PA
NPI 1265468425
Physician Assistant in Ferndale, WA

Q: What is Carol Bolt's NPI number?

The NPI number for Carol Bolt is 1265468425. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Carol Bolt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Carol Bolt was last updated on May 15, 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.

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment

87.96/100

CMS Quality Rating

6060 PORTAL WAY, FERNDALE, WA 98248(360) 676-6177(360) 671-3574 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, Dec 4, 2025, Feb 6, 2024 and 1 more (4 updates tracked since 2019).

On this page

About Mrs. Carol Ann Bolt Pa NPPES

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

MRS. CAROL ANN BOLT PA (NPI 1265468425) is an individual physician assistant in Ferndale, Washington, licensed in Washington (61678220) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Blaine, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265468425

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. CAROL ANN BOLTCredential: PA

Location Address6060 PORTAL WAYFerndale, WA 98248-7833

Mailing Address6060 Portal WayFerndale, WA 98248-7833 · (360) 676-6177 · Fax (360) 671-3574

Phone(360) 676-6177

Fax(360) 671-3574

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 22, 2006

Last NPPES UpdateMay 15, 20264 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1265468425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WA · 61678220✔ Licensed in CO · PA0004322✔ Licensed in NC · 000102439

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6060 PORTAL WAY, Ferndale, WA 98248

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Secondary Practice Location 1

Location 14519 Grandview RdBlaine, WA 98230-9640 · Phone (360) 371-1307 · Fax (360) 371-0276

Other Identifiers 1

Medicaid98700057CO

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

Mrs. Carol Ann Bolt Pa 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 ID8527027804

PECOS Enrollment IDI20160217001406, I20260423000586

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98248 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

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.

87.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

72.43

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers20 claims42 services$6.62 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers77 claims79 services$20.19 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers113 claims116 services$110.36 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$33.62 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers22 claims22 services$199.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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