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SHELLY D BOLAND LMSW
NPI 1427617133
Social Worker in Eufaula, OK

Active since June 07, 2019PECOS EnrolledAccepts Medicare Assignment
111 W FORREST AVE STE A, EUFAULA, OK 74432(918) 689-3333(918) 967-4582 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shelly D Boland Lmsw NPPES

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

SHELLY D BOLAND LMSW (NPI 1427617133) is an individual social worker in Eufaula, Oklahoma, licensed in Oklahoma (6412) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1427617133
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHELLY D BOLANDCredential: LMSW
Location Address111 W FORREST AVE STE AEufaula, OK 74432-3205
Mailing AddressPo Box 179Stigler, OK 74462-0179 · (918) 967-3368 · Fax (918) 967-4582
Phone(918) 689-3333
Fax(918) 967-4582
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 7, 2019
✔ NPI 1427617133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OK · 6412
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
111 W FORREST AVE STE A, Eufaula, OK 74432
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

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

Shelly D Boland Lmsw 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 ID4486042637
PECOS Enrollment IDI20211021000625
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 Shelly Boland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stigler Health And Wellness Center Inc
27 mi
Federally Qualified Health Center (FQHC)
1505 E MAIN ST
Stigler, OK 74462
  • Reassigned Medicare billing, Oklahoma enrollment
  • 61 clinicians in this Medicare group
NPI 1891752853 (918) 967-3368

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

Other Providers at the Same Location NPPES 5

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

LISA GRAY APRN
Nurse Practitioner (Family)
111 W FORREST AVE STE A
EUFAULA, OK 74432
McIntosh County (918) 689-3333
REYNADA LENEIGH WALL
Social Worker (Clinical)
111 W FORREST AVE STE A
EUFAULA, OK 74432
McIntosh County (918) 689-3333
APRIL MINOR
Case Manager/Care Coordinator
111 W FORREST AVE STE A
EUFAULA, OK 74432
McIntosh County (918) 689-3333
DANNASUE ANN PRUETT-JONES LADC-MH, LPC
Counselor (Mental Health)
111 W FORREST AVE STE A
EUFAULA, OK 74432
McIntosh County (800) 640-9741
CORA JOHNSON
Case Manager/Care Coordinator
111 W FORREST AVE STE A
EUFAULA, OK 74432
McIntosh County (918) 689-3333

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 Shelly Boland's NPI number?

The NPI number for Shelly Boland is 1427617133. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Shelly Boland located?

Shelly Boland practices at 111 W Forrest Ave Ste A, Eufaula, OK 74432. The listed phone number is (918) 689-3333.

What is Shelly Boland's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Shelly Boland enrolled in Medicare?

Yes. Shelly Boland 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 Shelly Boland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Boland reassigns Medicare benefits to Stigler Health And Wellness Center Inc (Stigler, OK). 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 Shelly Boland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Boland accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Shelly Boland 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 Shelly Boland was last updated on June 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.