KAREN BOLALIN
NPI 1487121828
Nurse Practitioner - Family in Mcallen, TX

Active since October 24, 2018PECOS EnrolledAccepts Medicare Assignment
500 E RIDGE RD STE 300, MCALLEN, TX 78503(956) 630-5522(956) 926-4352 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Bolalin NPPES

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

KAREN BOLALIN (NPI 1487121828) is an individual family provider in Mcallen, Texas, licensed in Texas (AP139364) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487121828
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN BOLALIN
Location Address500 E RIDGE RD STE 300Mcallen, TX 78503-1508
Mailing AddressPo Box 3046Malvern, PA 19355-0746 · (956) 630-5522 · Fax (956) 682-7730
Fax(956) 926-4352
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 24, 2018
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
NPI 1487121828 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 TX · AP139364
500 E RIDGE RD STE 300, Mcallen, TX 78503

Other Names 1

Other Name (5)Karen Lava Bolalin

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

Karen Bolalin 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 ID2062745441
PECOS Enrollment IDI20190618001359
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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
149 services104 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.
149 services102 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services21 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
18 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 17

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

Internal Medicine (Clinical Cardiac Electrophysiology)
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Physician Assistant
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Physician Assistant
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Nurse Practitioner
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Nurse Practitioner
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Nurse Practitioner
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Physician Assistant
500 E RIDGE RD STE 300
MCALLEN, TX 78503
Nurse Practitioner
500 E RIDGE RD STE 300
MCALLEN, TX 78503

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 Karen Bolalin's NPI number?

The NPI number for Karen Bolalin is 1487121828. It was assigned to this individual provider in the NPPES registry on October 24, 2018. The provider is also known as Karen Lava Bolalin.

Where is Karen Bolalin located?

Karen Bolalin practices at 500 E Ridge Rd Ste 300, Mcallen, TX 78503. The listed phone number is (956) 630-5522.

What is Karen Bolalin's specialty?

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

Is Karen Bolalin enrolled in Medicare?

Yes. Karen Bolalin 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 Karen Bolalin accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Karen Bolalin 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 Karen Bolalin affiliated with any hospitals?

According to CMS data, Karen Bolalin is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Karen Bolalin was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.