PATRICIA A. BOLTIN PNP
NPI 1336241447
Nurse Practitioner - Pediatrics in Peekskill, NY
About Patricia A. Boltin Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA A. BOLTIN PNP (NPI 1336241447) is an individual pediatrics provider in Peekskill, New York, licensed in New York (F380565) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patricia A. Boltin Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Patricia Boltin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peekskill, NY 10566
- Reassigned Medicare billing, Connecticut and New York enrollments
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PEEKSKILL, NY 10566
PEEKSKILL, NY 10566
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 Patricia Boltin's NPI number?
The NPI number for Patricia Boltin is 1336241447. It was assigned to this individual provider in the NPPES registry on September 1, 2006.
Where is Patricia Boltin located?
Patricia Boltin practices at 1037 Main St Hudson River Healthcare, Inc., Peekskill, NY 10566. The listed phone number is (914) 734-8800.
What is Patricia Boltin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Patricia Boltin enrolled in Medicare?
Yes. Patricia Boltin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Patricia Boltin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Boltin reassigns Medicare benefits to Sun River Health Inc. (Peekskill, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Boltin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Patricia Boltin was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Patricia A. Boltin, PNP · NPI 1336241447
Pediatrics physician in Peekskill, New York. Individual provider, active in the CMS NPPES registry since September 1, 2006.
## Identity
- **NPI:** 1336241447 (Entity type: Individual)
- **Enumerated:** September 1, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** F380565 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC., Peekskill, NY 10566-2913
- **Phone:** (914) 734-8800 · **Fax:** (914) 734-8808
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sun River Health Inc. (NPI 1619969458, Peekskill, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2011
- **Other identifiers:** Medicaid 02040724 (NY); Medicaid 00473038 (NY); Medicare PIN A400050179
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Source: [NPI Profile](https://npiprofile.com/npi/1336241447) · Data from the CMS NPPES public registry.