JACQUELINE BOLT MD
NPI 1629501333
Emergency Medicine - Pediatric Emergency Medicine in Plano, TX

Q: What is Jacqueline Bolt's NPI number?

The NPI number for Jacqueline Bolt is 1629501333. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Q: What is Jacqueline Bolt's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Bolt was last updated on August 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2017PECOS Enrolled

7601 PRESTON RD, PLANO, TX 75024(469) 303-7000 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2023, Apr 10, 2017 (2 updates tracked since 2017).

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About Jacqueline Bolt Md NPPES

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

JACQUELINE BOLT MD (NPI 1629501333) is an individual pediatric emergency medicine provider in Plano, Texas, licensed in Texas (S5563) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629501333

Entity TypeIndividualFemale

Primary Taxonomy207PP0204X

Provider Legal NameJACQUELINE BOLTCredential: MD

Location Address7601 PRESTON RDPlano, TX 75024-3214

Mailing Address1409 N Zang Blvd Apt 718Dallas, TX 75203-1233 · (253) 468-3007

Phone(469) 303-7000

Sole ProprietorYes

Enumeration DateApril 10, 2017

Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration

NPPES CertifiedAugust 31, 2023

✔ NPI 1629501333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PP0204X

License✔ Licensed in TX · S5563

Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

7601 PRESTON RD, Plano, TX 75024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Bolt 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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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.

MRS. JENNIFER ARCHER MOYLON PA-C

Physician Assistant (Medical)