MELISSA LYNN BOLDT FNP-C
NPI 1558108688
Nurse Practitioner - Women's Health in Green Bay, WI

Q: What is Melissa Boldt's NPI number?

The NPI number for Melissa Boldt is 1558108688. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Q: What is Melissa Boldt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Boldt was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 15, 2024PECOS EnrolledAccepts Medicare Assignment

2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-8400(920) 288-8463 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 7, 2026, Jul 15, 2024 (2 updates tracked since 2024).

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About Melissa Lynn Boldt Fnp-c NPPES

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

MELISSA LYNN BOLDT FNP-C (NPI 1558108688) is an individual women's health provider in Green Bay, Wisconsin, licensed in Wisconsin (15573) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1558108688

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMELISSA LYNN BOLDTCredential: FNP-C

Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 288-8400

Fax(920) 288-8463

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 15, 2024

Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1558108688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in WI · 15573

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 15573-33 (WI)

2845 GREENBRIER RD, Green Bay, WI 54311

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Secondary Practice Location 1

Location 1744 S Webster AveGreen Bay, WI 54301-3505 · Phone (920) 433-3500

Other Identifiers 1

Medicaid100285195WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Melissa Lynn Boldt Fnp-c 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.

PECOS PAC ID5193256857

PECOS Enrollment IDI20241004001759

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

AMRITHA CHANDRAHASA KARKERA M.D.

Internal Medicine (Hematology & Oncology)