SAYSHA M. BOLDEN AGACNP-BC
NPI 1497131304
Nurse Practitioner - Gerontology in Moline, IL

Q: What is Saysha Bolden's NPI number?

The NPI number for Saysha Bolden is 1497131304. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Q: What is Saysha Bolden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Saysha Bolden was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 03, 2015PECOS Enrolled

400 JOHN DEERE RD BLDG 1, MOLINE, IL 61265(309) 762-5570(309) 762-4514 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Saysha M. Bolden Agacnp-bc NPPES

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

SAYSHA M. BOLDEN AGACNP-BC (NPI 1497131304) is an individual gerontology provider in Moline, Illinois, licensed in Iowa (H106686) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497131304

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSAYSHA M. BOLDENCredential: AGACNP-BC

Location Address400 JOHN DEERE RD BLDG 1Moline, IL 61265-6898

Mailing Address400 John Deere Rd Bldg 1Moline, IL 61265-6898 · (309) 762-5570 · Fax (309) 762-4514

Phone(309) 762-5570

Fax(309) 762-4514

Sole ProprietorNo

Enumeration DateAugust 3, 2015

✔ NPI 1497131304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IA · H106686

400 JOHN DEERE RD BLDG 1, Moline, IL 61265

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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)

Saysha M. Bolden Agacnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61265 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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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.

MR. NATHANIEL T MILLS ARNP

Nurse Practitioner