MS. BETINA LYNN BOLIN LCSW
NPI 1639407588
Social Worker - Clinical in Jonesboro, AR
About Ms. Betina Lynn Bolin Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. BETINA LYNN BOLIN LCSW (NPI 1639407588) is an individual clinical provider in Jonesboro, Arkansas, licensed in Missouri (2002009971) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dexter.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Betina Lynn Bolin Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Betina Bolin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 45 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72401 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 20
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 Betina Bolin's NPI number?
The NPI number for Betina Bolin is 1639407588. It was assigned to this individual provider in the NPPES registry on December 3, 2009.
Where is Betina Bolin located?
Betina Bolin practices at 2707 Browns Ln, Jonesboro, AR 72401. The listed phone number is (870) 972-4939.
What is Betina Bolin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Betina Bolin enrolled in Medicare?
Yes. Betina Bolin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Betina Bolin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Betina Bolin reassigns Medicare benefits to Shine Medical Of Ca PC (San Jose, CA). The 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 Betina Bolin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Betina Bolin accept?
Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Cigna HealthCare of Arizona, Inc, Health Advantage and Octave and 1 other insurer list Betina Bolin 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 Betina Bolin was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ms. Betina Lynn Bolin, LCSW · NPI 1639407588
Clinical provider in Jonesboro, Arkansas. Individual provider, active in the CMS NPPES registry since December 3, 2009.
## Identity
- **NPI:** 1639407588 (Entity type: Individual)
- **Enumerated:** December 3, 2009
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2707 BROWNS LN, Jonesboro, AR 72401
- **Phone:** (870) 972-4939 · **Fax:** (870) 972-4911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Shine Medical Of Ca PC (NPI 1942935473, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2019
- **Other identifiers:** Medicaid 1639407588 (MO); Other 1639407588 (MO); Other 1639407588 (MO); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1639407588) · Data from the CMS NPPES public registry.