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KRISTYN BOZA BOLTON PA
NPI 1316517774
Physician Assistant in Charleston, SC

Active since June 29, 2021PECOS Enrolled
67 PRESIDENT ST, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 18, 2024, Jan 10, 2023, Jun 29, 2021 (3 updates tracked since 2021).

About Kristyn Boza Bolton Pa NPPES

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

KRISTYN BOZA BOLTON PA (NPI 1316517774) is an individual physician assistant in Charleston, South Carolina, licensed in South Carolina (4425) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316517774
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTYN BOZA BOLTONCredential: PA
Location Address67 PRESIDENT STCharleston, SC 29425-4238
Mailing Address7201 Wellswood LnKnoxville, TN 37909-2436 · (865) 455-6676
Phone(843) 792-1414
Sole ProprietorNo
Enumeration DateJune 29, 2021
Last NPPES UpdateMay 18, 20243 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1316517774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 4425
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.
67 PRESIDENT ST, Charleston, SC 29425
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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)

Kristyn Boza Bolton Pa 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 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 20

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

YEVGENIY GELFAND MD
Psychiatry & Neurology (Psychiatry)
67 PRESIDENT ST
CHARLESTON, SC 29425
Charleston County (843) 792-0111
MS. SHERESA CHRISTINE CHRISTOPHER MS
Psychologist
67 PRESIDENT ST
CHARLESTON, SC 29425
Charleston County (843) 792-0888
MEDICAL UNIVERSITY OF SC
Psychiatry & Neurology (Psychiatry)
67 PRESIDENT ST
CHARLESTON, SC 29425
Charleston County (843) 792-0028
CIARA MONET STYLES MD
Psychiatry & Neurology (Psychiatry)
67 PRESIDENT ST
CHARLESTON, SC 29425
Charleston County (843) 792-9888
ALEXANDRA AVEN MD
Psychiatry & Neurology (Psychiatry)
67 PRESIDENT ST
CHARLESTON, SC 29425
Charleston County (843) 792-9888
DR. ALEX MYLES MCNABB MD
Psychiatry & Neurology (Psychiatry)
67 PRESIDENT ST
CHARLESTON, SC 29425
Charleston County (843) 792-9162
RILEY ALEXANDRA NIKOLYCHIK LISW-CP
Social Worker (Clinical)
67 PRESIDENT ST
CHARLESTON, SC 29425
Charleston County (843) 792-0224
ALLISON KAY WILKERSON PHD
Psychologist (Clinical)
67 PRESIDENT ST
CHARLESTON, SC 29425
Charleston County (843) 792-4636

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 Kristyn Bolton's NPI number?

The NPI number for Kristyn Bolton is 1316517774. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Kristyn Bolton located?

Kristyn Bolton practices at 67 President St, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Kristyn Bolton's specialty?

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

Is Kristyn Bolton enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristyn Bolton was last updated on May 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.