MARCUS PAUL BOLTON CNP
NPI 1629571880
Nurse Practitioner - Family in Xenia, OH
About Marcus Paul Bolton Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARCUS PAUL BOLTON CNP (NPI 1629571880) is an individual family provider in Xenia, Ohio, licensed in Ohio (APRN.CNP.022319) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marcus Paul Bolton Cnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Marcus Bolton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Xenia, OH 45385
- Reassigned Medicare billing, Ohio enrollment
- 364 clinicians in this Medicare group
Hillsboro, OH 45133
- Reassigned Medicare billing, Ohio enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kettering Health Greene Memorial
Acute Care Hospitals · Xenia, OHSoin Medical Center
Acute Care Hospitals · Beaver Creek, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Marcus Bolton's NPI number?
The NPI number for Marcus Bolton is 1629571880. It was assigned to this individual provider in the NPPES registry on March 14, 2018.
Where is Marcus Bolton located?
Marcus Bolton practices at 1157 N Monroe Dr Ste 220, Xenia, OH 45385. The listed phone number is (937) 374-3484.
What is Marcus Bolton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marcus Bolton enrolled in Medicare?
Yes. Marcus Bolton 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.
Which organizations bill Medicare for Marcus Bolton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marcus Bolton reassigns Medicare benefits to 2 organizations: Alliance Physicians, Inc. (Xenia, OH) and Highland Urgent Care (Hillsboro, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marcus Bolton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marcus Bolton accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Marcus Bolton 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.
Is Marcus Bolton affiliated with any hospitals?
According to CMS data, Marcus Bolton is affiliated with Kettering Health Greene Memorial and Soin Medical Center.
When was this NPI record last updated?
The NPPES record for Marcus Bolton was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Marcus Paul Bolton, CNP · NPI 1629571880
Family physician in Xenia, Ohio. Individual provider, active in the CMS NPPES registry since March 14, 2018.
## Identity
- **NPI:** 1629571880 (Entity type: Individual)
- **Enumerated:** March 14, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.022319 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1157 N MONROE DR STE 220, Xenia, OH 45385-1699
- **Phone:** (937) 374-3484
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alliance Physicians, Inc. (NPI 1902220437, Xenia, OH); Highland Urgent Care (NPI 1619283173, Hillsboro, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629571880) · Data from the CMS NPPES public registry.