KAREN BOLALIN
NPI 1487121828
Nurse Practitioner - Family in Mcallen, TX
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
Specialties & Licenses
Other Names 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Karen Bolalin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mcallen, TX 78503
- Reassigned Medicare billing, Texas enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, TXPhysician 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.
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.
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.
Which organization bills Medicare for Karen Bolalin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Bolalin reassigns Medicare benefits to Heart Clinic, PLLC (Mcallen, TX). 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 Karen Bolalin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Bolalin accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan 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 12 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.
# Karen Bolalin · NPI 1487121828
Family physician in Mcallen, Texas. Individual provider, active in the CMS NPPES registry since October 24, 2018.
## Identity
- **NPI:** 1487121828 (Entity type: Individual)
- **Enumerated:** October 24, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP139364 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 E RIDGE RD STE 300, Mcallen, TX 78503-1508
- **Phone:** (956) 630-5522 · **Fax:** (956) 926-4352
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Heart Clinic, PLLC (NPI 1437153244, Mcallen, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1487121828) · Data from the CMS NPPES public registry.