KELLY MARIE BOLIN APRN
NPI 1417353665
Nurse Practitioner - Family in Tampa, FL

Active since November 17, 2014PECOS EnrolledAccepts Medicare Assignment
8702 HUNTERS LAKE DR STE 100, TAMPA, FL 33647(813) 467-4700(813) 467-4261 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2022, Jul 30, 2022, Feb 21, 2022 and 3 more (6 updates tracked since 2018).

About Kelly Marie Bolin Aprn NPPES

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

KELLY MARIE BOLIN APRN (NPI 1417353665) is an individual family provider in Tampa, Florida, licensed in Florida (APRN9280600) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417353665
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MARIE BOLINCredential: APRN
Location Address8702 HUNTERS LAKE DR STE 100Tampa, FL 33647-2855
Mailing Address8702 Hunters Lake Dr Ste 100Tampa, FL 33647-2855 · (813) 467-4700 · Fax (813) 467-4261
Fax(813) 467-4261
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 17, 2014
Last NPPES UpdateOctober 13, 20226 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
NPI 1417353665 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 FL · APRN9280600
8702 HUNTERS LAKE DR STE 100, Tampa, FL 33647

Other Identifiers 2

Medicaid013953300FL
OtherY0PZ7FL · Blue Cross Blue Shield

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

Kelly Marie Bolin Aprn 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 ID3375866148
PECOS Enrollment IDI20141231000689
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 2

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.
21 services21 patients
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.
14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100046
Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County
Emergency services Birthing friendly

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

Florida Hospital Carrollwood

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100069
Location7171 N Dale Mabry HwyTampa, FL 33614 · Hillsborough County
Emergency services

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33647 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 13

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

Internal Medicine
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Family Medicine
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Family Medicine
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Nurse Practitioner (Family)
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Obstetrics & Gynecology
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Family Medicine
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Physician Assistant
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Dermatology
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647

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 Kelly Bolin's NPI number?

The NPI number for Kelly Bolin is 1417353665. It was assigned to this individual provider in the NPPES registry on November 17, 2014.

Where is Kelly Bolin located?

Kelly Bolin practices at 8702 Hunters Lake Dr Ste 100, Tampa, FL 33647. The listed phone number is (813) 467-4700.

What is Kelly Bolin's specialty?

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

Is Kelly Bolin enrolled in Medicare?

Yes. Kelly Bolin 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 Kelly Bolin accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Kelly Bolin 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 Kelly Bolin affiliated with any hospitals?

According to CMS data, Kelly Bolin is affiliated with Florida Hospital Zephyrhills, Adventhealth North Pinellas, Florida Hospital Carrollwood, Adventhealth Tampa and Adventhealth Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Kelly Bolin was last updated on October 13, 2022. 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.