DR. MARY-ANN PRISCILLA BOLTE M.D.
NPI 1407954472
Psychiatry & Neurology - Psychiatry in Bellevue, WA

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
2105 112TH AVE NE, SUITE 200, BELLEVUE, WA 98004(425) 452-2964 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary-ann Priscilla Bolte M.d. NPPES

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

DR. MARY-ANN PRISCILLA BOLTE M.D. (NPI 1407954472) is an individual psychiatry provider in Bellevue, Washington, licensed in Washington (24128) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1985).

NPPES Registry Identity

NPI1407954472
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARY-ANN PRISCILLA BOLTECredential: M.D.
Location Address2105 112TH AVE NE, SUITE 200Bellevue, WA 98004-2945
Mailing Address2105 112th Ave Ne, Suite 200Bellevue, WA 98004 · (425) 452-2964
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1985
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 10, 2011
NPI 1407954472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in WA · 24128
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2105 112TH AVE NE, Bellevue, WA 98004

Other Identifiers 3

Medicare UPINF04636WA
Medicaid8114167WA
OtherBO4573WA · Blueshield Pin

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

Dr. Mary-ann Priscilla Bolte M.d. 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 ID2567412414
PECOS Enrollment IDI20050127000903
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.

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services20 patients
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.
44 services19 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
26 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 11

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

Psychologist
2105 112TH AVE NE, #200
BELLEVUE, WA 98004
Psychologist (Prescribing (Medical))
2105 112TH AVE NE, SUITE 201
BELLEVUE, WA 98004
Dietitian, Registered
2105 112TH AVE NE
BELLEVUE, WA 98004
Family Medicine
2105 112TH AVE NE
BELLEVUE, WA 98004
Marriage & Family Therapist
2105 112TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Psychologist
2105 112TH AVE NE, SUITE 101
BELLEVUE, WA 98004
Counselor (Addiction (Substance Use Disorder))
2105 112TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Marriage & Family Therapist
2105 112TH AVE NE, SUITE 200
BELLEVUE, WA 98004

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 Mary-ann Bolte's NPI number?

The NPI number for Mary-ann Bolte is 1407954472. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Mary-ann Bolte located?

Mary-ann Bolte practices at 2105 112th Ave NE Suite 200, Bellevue, WA 98004. The listed phone number is (425) 452-2964.

What is Mary-ann Bolte's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mary-ann Bolte enrolled in Medicare?

Yes. Mary-ann Bolte 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 Mary-ann Bolte accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Mary-ann Bolte 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.

When was this NPI record last updated?

The NPPES record for Mary-ann Bolte was last updated on January 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.