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STEPHEN BOLIVAR NP
NPI 1598199291
Nurse Practitioner - Family in Southaven, MS

Active since August 29, 2013PECOS EnrolledAccepts Medicare Assignment
401 SOUTHCREST CIR STE 202, SOUTHAVEN, MS 38671(662) 536-2281(901) 763-3694 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen Bolivar Np NPPES

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

STEPHEN BOLIVAR NP (NPI 1598199291) is an individual family provider in Southaven, Mississippi, licensed in Mississippi (888641) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1598199291
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHEN BOLIVARCredential: NP
Location Address401 SOUTHCREST CIR STE 202Southaven, MS 38671-6719
Mailing Address3158 Meadows WayHernando, MS 38632-1090 · (601) 651-2832
Phone(662) 536-2281
Fax(901) 763-3694
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 29, 2013
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1598199291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 888641
401 SOUTHCREST CIR STE 202, Southaven, MS 38671
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12100 Exeter RdGermantown, TN 38138-3966 · Phone (901) 757-1350 · Fax (901) 757-3496
Location 25659 S Rex RdMemphis, TN 38119-3821 · Phone (901) 763-3636 · Fax (901) 763-3694
Location 38138 Country Village DrCordova, TN 38016-2029 · Phone (901) 725-8606 · Fax (901) 759-9254

Other Identifiers 1

Medicaid07029064MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina 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

Stephen Bolivar Np 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 ID7315178183
PECOS Enrollment IDI20140319001072, I20251125000427
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.

Areas of Expertise CMS Part B claims 3

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.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
75 services73 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
43 services43 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
28 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY PEARCE NORWOOD D.O.
Obstetrics & Gynecology
401 SOUTHCREST CIR STE 202
SOUTHAVEN, MS 38671
Desoto County (662) 349-1112
DR. DELALI OHUI BLAVO DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
401 SOUTHCREST CIR STE 202
SOUTHAVEN, MS 38671
Desoto County (901) 763-3636

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 Stephen Bolivar's NPI number?

The NPI number for Stephen Bolivar is 1598199291. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Where is Stephen Bolivar located?

Stephen Bolivar practices at 401 Southcrest Cir Ste 202, Southaven, MS 38671. The listed phone number is (662) 536-2281.

What is Stephen Bolivar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephen Bolivar enrolled in Medicare?

Yes. Stephen Bolivar 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 Stephen Bolivar accept?

Health plans from Molina Healthcare list Stephen Bolivar 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 Stephen Bolivar was last updated on November 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.