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MRS. JACQUELINE BOLMER NP-C
NPI 1619236908
Nurse Practitioner - Family in Mount Orab, OH

Active since May 08, 2012PECOS Enrolled
100/100
CMS Quality Rating
210 STERLING RUN BLVD, MOUNT ORAB, OH 45154(615) 425-4200 Get Directions Write a Review

NPPES record last updated: May 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jacqueline Bolmer Np-c NPPES

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

MRS. JACQUELINE BOLMER NP-C (NPI 1619236908) is an individual family provider in Mount Orab, Ohio, licensed in Ohio (COA.13279-NP) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619236908
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JACQUELINE BOLMERCredential: NP-C
Location Address210 STERLING RUN BLVDMount Orab, OH 45154-8350
Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108 · (615) 425-4200 · Fax (615) 425-4268
Phone(615) 425-4200
Sole ProprietorNo
Enumeration DateMay 8, 2012
✔ NPI 1619236908 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 OH · COA.13279-NP
210 STERLING RUN BLVD, Mount Orab, OH 45154
Open in Google Maps ↗

Other Names 1

Former Name (1)Jacqueline Jacobs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacqueline Bolmer Np-c 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 45154 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

ZACHARY RYAN MARSH PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
210 STERLING RUN BLVD
MOUNT ORAB, OH 45154
Brown County (937) 444-6911
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
210 STERLING RUN BLVD
MOUNT ORAB, OH 45154
Brown County (937) 444-5014
DR. AUTUMN LOUISE PRESTON PHARMD
Pharmacist
210 STERLING RUN BLVD
MOUNT ORAB, OH 45154
Brown County (937) 444-5014
MRS. TINA WAGNER PHARMD
Pharmacist
210 STERLING RUN BLVD
MOUNT ORAB, OH 45154
Brown County (937) 444-6911
MR. MITCHELL SMITH MCMANIS MSN, APRN, CNP
Nurse Practitioner (Family)
210 STERLING RUN BLVD
MOUNT ORAB, OH 45154
Brown County (937) 444-6910
DR. JESSE ALEXANDER CUMBERLEDGE PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
210 STERLING RUN BLVD
MOUNT ORAB, OH 45154
Brown County (937) 444-6911
DR. VICTORIA SHANNON PHARMD
Pharmacist
210 STERLING RUN BLVD
MOUNT ORAB, OH 45154
Brown County (937) 444-6911
JAMIE SUE JACKSON APRN, NP-C
Nurse Practitioner (Family)
210 STERLING RUN BLVD
MOUNT ORAB, OH 45154
Brown County (937) 444-6995

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 Jacqueline Bolmer's NPI number?

The NPI number for Jacqueline Bolmer is 1619236908. It was assigned to this individual provider in the NPPES registry on May 8, 2012. The provider is also known as Jacqueline Jacobs.

Where is Jacqueline Bolmer located?

Jacqueline Bolmer practices at 210 Sterling Run Blvd, Mount Orab, OH 45154. The listed phone number is (615) 425-4200.

What is Jacqueline Bolmer's specialty?

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

Is Jacqueline Bolmer enrolled in Medicare?

Yes. Jacqueline Bolmer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Bolmer was last updated on May 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.