AUDREY ANNE BOLDEN NP
NPI 1316455959
Nurse Practitioner in Lake St Louis, MO

Active since January 17, 2018PECOS EnrolledAccepts Medicare Assignment
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367(636) 625-5200 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2025, Oct 26, 2023, Jan 17, 2018 (3 updates tracked since 2018).

About Audrey Anne Bolden Np NPPES

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

AUDREY ANNE BOLDEN NP (NPI 1316455959) is an individual nurse practitioner in Lake St Louis, Missouri, licensed in Missouri (2018002061) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Mosaic Life Care At St Joseph, and maintains a secondary practice location in Saint Joseph.

NPPES Registry Identity

NPI1316455959
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAUDREY ANNE BOLDENCredential: NP
Location Address100 MEDICAL PLZLake St Louis, MO 63367-1366
Mailing Address802 N Riverside Rd Ste 210Saint Joseph, MO 64507-2509 · (816) 271-6200 · Fax (816) 271-6749
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 17, 2018
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
NPI 1316455959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 2018002061
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
100 MEDICAL PLZ, Lake St Louis, MO 63367

Secondary Practice Location 1

Location 1802 N Riverside Rd Ste 210Saint Joseph, MO 64507-2509 · Phone (816) 271-6200 · Fax (816) 271-6749

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

Audrey Anne Bolden Np 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 ID1153682448
PECOS Enrollment IDI20180301001157
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260006
Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County
Emergency services Birthing friendly

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63367 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%72 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367
Emergency Medicine
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367
Physical Therapy Assistant
100 MEDICAL PLZ
LAKE SAINT LOUIS, MO 63367
Emergency Medicine
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367
Speech-Language Pathologist
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367
Nurse Practitioner (Acute Care)
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367
Pediatrics
100 MEDICAL PLZ
LAKE SAINT LOUIS, MO 63367
Nurse Practitioner (Family)
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367

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 Audrey Bolden's NPI number?

The NPI number for Audrey Bolden is 1316455959. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Audrey Bolden located?

Audrey Bolden practices at 100 Medical Plz, Lake St Louis, MO 63367. The listed phone number is (636) 625-5200.

What is Audrey Bolden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Audrey Bolden enrolled in Medicare?

Yes. Audrey Bolden 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 Audrey Bolden accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Audrey Bolden 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.

Is Audrey Bolden affiliated with any hospitals?

According to CMS data, Audrey Bolden is affiliated with Mosaic Life Care At St Joseph and North Kansas City Hospital.

When was this NPI record last updated?

The NPPES record for Audrey Bolden was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.