MRS. WILLIE MARY BOLDEN
NPI 1518428283
Nurse Practitioner - Family in Shaw, MS
About Mrs. Willie Mary Bolden NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. WILLIE MARY BOLDEN (NPI 1518428283) is an individual family provider in Shaw, Mississippi, licensed in Mississippi (903205) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Willie Mary Bolden 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38773 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 7
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 Willie Mary Bolden's NPI number?
The NPI number for Willie Mary Bolden is 1518428283. It was assigned to this individual provider in the NPPES registry on March 26, 2019.
Where is Willie Mary Bolden located?
Willie Mary Bolden practices at 112 W Peeler Ave, Shaw, MS 38773. The listed phone number is (662) 745-6638.
What is Willie Mary Bolden's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Willie Mary Bolden enrolled in Medicare?
Yes. Willie Mary Bolden 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 Willie Mary Bolden accept?
Health plans from Molina Healthcare list Willie Mary Bolden 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.
When was this NPI record last updated?
The NPPES record for Willie Mary Bolden was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Willie Mary Bolden · NPI 1518428283
Family physician in Shaw, Mississippi. Individual provider, active in the CMS NPPES registry since March 26, 2019.
## Identity
- **NPI:** 1518428283 (Entity type: Individual)
- **Enumerated:** March 26, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 903205 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 112 W PEELER AVE, Shaw, MS 38773-8710
- **Phone:** (662) 745-6638
## 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 2018
## Record status
- **NPPES last updated:** March 26, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1518428283) · Data from the CMS NPPES public registry.