REILLY AUTUMN BOLIN FNP
NPI 1508693318
Nurse Practitioner - Primary Care in Bangor, ME
About Reilly Autumn Bolin Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REILLY AUTUMN BOLIN FNP (NPI 1508693318) is an individual primary care provider in Bangor, Maine, licensed in Maine (CNP251004) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Reilly Autumn Bolin Fnp 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Hospital
Acute Care Hospitals · Bangor, MENorthern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Reilly Bolin's NPI number?
The NPI number for Reilly Bolin is 1508693318. It was assigned to this individual provider in the NPPES registry on September 16, 2024.
Where is Reilly Bolin located?
Reilly Bolin practices at 302 Husson Ave, Bangor, ME 04401. The listed phone number is (207) 947-6141.
What is Reilly Bolin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Reilly Bolin enrolled in Medicare?
Yes. Reilly Bolin 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.
Is Reilly Bolin affiliated with any hospitals?
According to CMS data, Reilly Bolin is affiliated with St Joseph Hospital and Northern Light Eastern Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Reilly Bolin was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Reilly Autumn Bolin, FNP · NPI 1508693318
Primary Care physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since September 16, 2024.
## Identity
- **NPI:** 1508693318 (Entity type: Individual)
- **Enumerated:** September 16, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** CNP251004 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 302 HUSSON AVE, Bangor, ME 04401-3374
- **Phone:** (207) 947-6141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508693318) · Data from the CMS NPPES public registry.