DR. NICOLE LEIGH BOLICK MD
NPI 1285255166
Dermatology in Charlotte, NC

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
5815 BLAKENEY PARK DR STE 100, CHARLOTTE, NC 28277(704) 542-2220(704) 542-3304 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 9, 2025, Aug 4, 2025, Dec 3, 2024 and 3 more (6 updates tracked since 2020).

About Dr. Nicole Leigh Bolick Md NPPES

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

DR. NICOLE LEIGH BOLICK MD (NPI 1285255166) is an individual dermatology provider in Charlotte, North Carolina, licensed in North Carolina (202500335) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Brody School Of Medicine At East Carolina University (2020).

NPPES Registry Identity

NPI1285255166
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. NICOLE LEIGH BOLICKCredential: MD
Location Address5815 BLAKENEY PARK DR STE 100Charlotte, NC 28277-5732
Mailing Address1072 X Ray DrGastonia, NC 28054-7488 · (980) 399-6330 · Fax (704) 671-1095
Fax(704) 542-3304
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2020
Enumeration DateMay 1, 2020
Last NPPES UpdateSeptember 9, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
NPI 1285255166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NC · 202500335
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RS2022-0770 (NM)
5815 BLAKENEY PARK DR STE 100, Charlotte, NC 28277

Secondary Practice Locations 2

Location 1309 S Sharon Amity Rd Ste 200Charlotte, NC 28211-2886 · Phone (704) 344-8846 · Fax (704) 344-9844
Location 2Msc07 4240 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-6000 · Fax (505) 272-6003

Accepted Insurance

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

Dr. Nicole Leigh Bolick Md 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 ID3072935030
PECOS Enrollment IDI20250423000651
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 28277 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 5

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

Dermatology (MOHS-Micrographic Surgery)
5815 BLAKENEY PARK DR STE 100
CHARLOTTE, NC 28277
Plastic Surgery
5815 BLAKENEY PARK DR STE 100
CHARLOTTE, NC 28277
Physician Assistant
5815 BLAKENEY PARK DR STE 100
CHARLOTTE, NC 28277
Dermatology
5815 BLAKENEY PARK DR STE 100
CHARLOTTE, NC 28277
Physician Assistant
5815 BLAKENEY PARK DR STE 100
CHARLOTTE, NC 28277

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 Nicole Bolick's NPI number?

The NPI number for Nicole Bolick is 1285255166. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Nicole Bolick located?

Nicole Bolick practices at 5815 Blakeney Park Dr Ste 100, Charlotte, NC 28277. The listed phone number is (704) 542-2220.

What is Nicole Bolick's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Nicole Bolick enrolled in Medicare?

Yes. Nicole Bolick 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.

What insurance does Nicole Bolick accept?

Health plans from Blue Cross and Blue Shield of NC list Nicole Bolick 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 Nicole Bolick was last updated on September 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.