STEPHANIE NICOLE BOLDT MD
NPI 1619660404
Student in an Organized Health Care Education/Training Program in Flint, MI

Q: What is Stephanie Boldt's NPI number?

The NPI number for Stephanie Boldt is 1619660404. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Q: What is Stephanie Boldt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Boldt was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 30, 2023PECOS Enrolled

401 S BALLENGER HWY OFC 7N, FLINT, MI 48532(810) 342-2000(810) 342-3659 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stephanie Nicole Boldt Md NPPES

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

STEPHANIE NICOLE BOLDT MD (NPI 1619660404) is an individual student in an organized health care education/training program in Flint, Michigan, licensed in Michigan (4351050859) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619660404

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSTEPHANIE NICOLE BOLDTCredential: MD

Location Address401 S BALLENGER HWY OFC 7NFlint, MI 48532-3638

Mailing Address401 S Ballenger Hwy Ofc 7nFlint, MI 48532-3638 · (810) 342-2000 · Fax (810) 342-3659

Phone(810) 342-2000

Fax(810) 342-3659

Sole ProprietorNo

Enumeration DateMay 30, 2023

Last NPPES UpdateJune 2, 2023

NPPES CertifiedJune 2, 2023

✔ NPI 1619660404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351050859

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

401 S BALLENGER HWY OFC 7N, Flint, MI 48532

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Nicole Boldt Md 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.

Other Providers at the Same Location NPPES 19

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

BRITANNY HAMAMA MD