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KRISTINE MAY DE VERA BOLOTAULO NP
NPI 1356770820
Nurse Practitioner - Family in Bellflower, CA

Active since November 05, 2013PECOS EnrolledAccepts Medicare Assignment
17004 COTTAGE LN, BELLFLOWER, CA 90706(323) 687-3075 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristine May De Vera Bolotaulo Np NPPES

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

KRISTINE MAY DE VERA BOLOTAULO NP (NPI 1356770820) is an individual family provider in Bellflower, California, licensed in California (95000067) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1356770820
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINE MAY DE VERA BOLOTAULOCredential: NP
Location Address17004 COTTAGE LNBellflower, CA 90706-6069
Mailing Address17004 Cottage LnBellflower, CA 90706-6069 · (323) 687-3075
Phone(323) 687-3075
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 5, 2013
✔ NPI 1356770820 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 CA · 95000067
17004 COTTAGE LN, Bellflower, CA 90706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristine May De Vera Bolotaulo 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 ID8022235043
PECOS Enrollment IDI20140814000737
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.

Medicare Billing Reassignment

Medicare enrollment records show Kristine May Bolotaulo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles Auditor Controller
0.2 mi
Clinic/Center
10005 FLOWER ST
Bellflower, CA 90706
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Los Angeles
  • 1,939 clinicians in this Medicare group
NPI 1689695892 (310) 518-8803

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services57 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
67 services43 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90706 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims30 services$5.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims14 services$0.74 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 Kristine May Bolotaulo's NPI number?

The NPI number for Kristine May Bolotaulo is 1356770820. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Kristine May Bolotaulo located?

Kristine May Bolotaulo practices at 17004 Cottage Ln, Bellflower, CA 90706. The listed phone number is (323) 687-3075.

What is Kristine May Bolotaulo's specialty?

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

Is Kristine May Bolotaulo enrolled in Medicare?

Yes. Kristine May Bolotaulo 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.

Which organization bills Medicare for Kristine May Bolotaulo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine May Bolotaulo reassigns Medicare benefits to County Of Los Angeles Auditor Controller (Bellflower, CA). 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 Kristine May Bolotaulo'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 Kristine May Bolotaulo was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.