MRS. MARYJANE HYDE BOLDT NP
NPI 1285168575
Nurse Practitioner - Family in Salt Lake City, UT

Q: What is Maryjane Boldt's NPI number?

The NPI number for Maryjane Boldt is 1285168575. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Q: What is Maryjane Boldt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maryjane Boldt was last updated on April 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 13, 2017PECOS Enrolled

8TH AVE C STREET, LDS HOSPITAL (W7), SALT LAKE CITY, UT 84103(801) 408-2700(801) 408-5620 Get Directions Write a Review

NPPES record last updated: April 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Maryjane Hyde Boldt Np NPPES

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

MRS. MARYJANE HYDE BOLDT NP (NPI 1285168575) is an individual family provider in Salt Lake City, Utah, licensed in Utah (6686503-4405) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285168575

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARYJANE HYDE BOLDTCredential: NP

Location Address8TH AVE C STREET, LDS HOSPITAL (W7)Salt Lake City, UT 84103

Mailing Address2834 E 4510 SSalt Lake City, UT 84117-4661 · (801) 541-1432

Phone(801) 408-2700

Fax(801) 408-5620

Sole ProprietorNo

Enumeration DateApril 13, 2017

✔ NPI 1285168575 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 UT · 6686503-4405

8TH AVE C STREET, Salt Lake City, UT 84103

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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)

Mrs. Maryjane Hyde Boldt Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84103 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

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 suppliers20 claims20 services$82.10 avg. paid by Medicare

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

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 Maryjane Boldt's NPI number?

The NPI number for Maryjane Boldt is 1285168575. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Maryjane Boldt located?

Maryjane Boldt practices at 8th Ave C Street Lds Hospital (w7), Salt Lake City, UT 84103. The listed phone number is (801) 408-2700.

What is Maryjane Boldt's specialty?

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

Is Maryjane Boldt enrolled in Medicare?

Yes. Maryjane Boldt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryjane Boldt was last updated on April 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.