STEPHANIE MARIE BOLIVAR MD
NPI 1487304432
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Stephanie Bolivar's NPI number?

The NPI number for Stephanie Bolivar is 1487304432. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Q: What is Stephanie Bolivar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Bolivar was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2022PECOS Enrolled

1130 W MICHIGAN ST, FESLER HALL 204, INDIANAPOLIS, IN 46202(317) 274-0275 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2024, Jul 9, 2023 (2 updates tracked since 2023).

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About Stephanie Marie Bolivar Md NPPES

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

STEPHANIE MARIE BOLIVAR MD (NPI 1487304432) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487304432

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSTEPHANIE MARIE BOLIVARCredential: MD

Location Address1130 W MICHIGAN ST, FESLER HALL 204Indianapolis, IN 46202

Mailing Address1130 W Michigan St, Fesler Hall 204Indianapolis, IN 46202

Phone(317) 274-0275

Sole ProprietorNo

Enumeration DateMarch 24, 2022

Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1487304432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1130 W MICHIGAN ST, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Marie Bolivar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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