JOAN SEBASTIAN BOLANOS LOPEZ PA-C
NPI 1396532511
Physician Assistant in Shallotte, NC

Active since April 22, 2025PECOS EnrolledAccepts Medicare Assignment
5160 OCEAN HWY W, SHALLOTTE, NC 28470(910) 617-8325 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2025, May 5, 2025 (2 updates tracked since 2025).

About Joan Sebastian Bolanos Lopez Pa-c NPPES

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

JOAN SEBASTIAN BOLANOS LOPEZ PA-C (NPI 1396532511) is an individual physician assistant in Shallotte, North Carolina, licensed in North Carolina (0010-15626) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with J Arthur Dosher Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396532511
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOAN SEBASTIAN BOLANOS LOPEZCredential: PA-C
Location Address5160 OCEAN HWY WShallotte, NC 28470-4012
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (919) 220-5255
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 22, 2025
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
NPI 1396532511 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 NC · 0010-15626
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.

5160 OCEAN HWY W, Shallotte, NC 28470

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

Joan Sebastian Bolanos Lopez Pa-c 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 ID9638666431
PECOS Enrollment IDI20251015002085
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.

Hospital Affiliations CMS Care Compare

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

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC
OwnershipVoluntary non-profit - Other
CMS Certification Number341327
Location924 Howe StSouthport, NC 28461 · Brunswick County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28470 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Nurse Practitioner (Family)
5160 OCEAN HWY W
SHALLOTTE, NC 28470
Physical Medicine & Rehabilitation
5160 OCEAN HWY W
SHALLOTTE, NC 28470
Physical Therapist
5160 OCEAN HWY W
SHALLOTTE, NC 28470
Physical Therapy Assistant
5160 OCEAN HWY W
SHALLOTTE, NC 28470
Physician Assistant
5160 OCEAN HWY W
SHALLOTTE, NC 28470
Physical Therapist
5160 OCEAN HWY W
SHALLOTTE, NC 28470
Physical Therapist
5160 OCEAN HWY W
SHALLOTTE, NC 28470
Physical Therapist
5160 OCEAN HWY W
SHALLOTTE, NC 28470

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 Joan Bolanos Lopez's NPI number?

The NPI number for Joan Bolanos Lopez is 1396532511. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Joan Bolanos Lopez located?

Joan Bolanos Lopez practices at 5160 Ocean Hwy W, Shallotte, NC 28470. The listed phone number is (910) 617-8325.

What is Joan Bolanos Lopez's specialty?

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

Is Joan Bolanos Lopez enrolled in Medicare?

Yes. Joan Bolanos Lopez 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 Joan Bolanos Lopez accept?

Health plans from Blue Cross and Blue Shield of NC list Joan Bolanos Lopez 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 Joan Bolanos Lopez affiliated with any hospitals?

According to CMS data, Joan Bolanos Lopez is affiliated with J Arthur Dosher Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joan Bolanos Lopez was last updated on August 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.