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CARISSA MARTINE BOLDEN NP
NPI 1366912529
Nurse Practitioner - Family in Biloxi, MS

Active since November 30, 2018PECOS Enrolled
249 BEAUVOIR RD STE B2, BILOXI, MS 39531(601) 283-8999 Get Directions Write a Review

NPPES record last updated: January 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 8, 2023, Jun 9, 2022, Feb 20, 2020 and 1 more (4 updates tracked since 2018).

About Carissa Martine Bolden Np NPPES

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

CARISSA MARTINE BOLDEN NP (NPI 1366912529) is an individual family provider in Biloxi, Mississippi, licensed in Mississippi (902960) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366912529
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARISSA MARTINE BOLDENCredential: NP
Location Address249 BEAUVOIR RD STE B2Biloxi, MS 39531-4008
Mailing Address109 Sellers StWiggins, MS 39577-8743 · (601) 528-0203
Phone(601) 283-8999
Sole ProprietorNo
Enumeration DateNovember 30, 2018
Last NPPES UpdateJanuary 8, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2023
✔ NPI 1366912529 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 MS · 902960
249 BEAUVOIR RD STE B2, Biloxi, MS 39531
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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 (PECOS)

Carissa Martine Bolden Np 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Carissa Bolden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nucare Medical And Weight Loss Center
Same address
Family
249 BEAUVOIR RD STE C1-3
Biloxi, MS 39531
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group
NPI 1437882800 (601) 283-8999
Coastal Family Health Center, Inc
4.3 mi
Federally Qualified Health Center (FQHC)
1046 DIVISION ST
Biloxi, MS 39530
  • Reassigned Medicare billing, Mississippi enrollment
  • 90 clinicians in this Medicare group
NPI 1093919029 (228) 374-2494
Signify Health, LLC
495 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Mississippi enrollment
  • 202 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 39531 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES

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

NAR'CISSA PATTON NP
Nurse Practitioner (Family)
249 BEAUVOIR RD STE B2
BILOXI, MS 39531
Harrison County (601) 283-8999

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 Carissa Bolden's NPI number?

The NPI number for Carissa Bolden is 1366912529. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

Where is Carissa Bolden located?

Carissa Bolden practices at 249 Beauvoir Rd Ste B2, Biloxi, MS 39531. The listed phone number is (601) 283-8999.

What is Carissa Bolden's specialty?

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

Is Carissa Bolden enrolled in Medicare?

Yes. Carissa Bolden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carissa Bolden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Bolden reassigns Medicare benefits to 3 organizations: Nucare Medical And Weight Loss Center (Biloxi, MS), Coastal Family Health Center, Inc (Biloxi, MS) and Signify Health, LLC (Dallas, TX). Each 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 Carissa Bolden'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 Carissa Bolden was last updated on January 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.