JENNIFER CHISM BOLEN FNP-C
NPI 1639720550
Nurse Practitioner - Family in Ecru, MS
About Jennifer Chism Bolen Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER CHISM BOLEN FNP-C (NPI 1639720550) is an individual family provider in Ecru, Mississippi, licensed in Mississippi (F08191029) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Chism Bolen Fnp-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38841 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 Jennifer Bolen's NPI number?
The NPI number for Jennifer Bolen is 1639720550. It was assigned to this individual provider in the NPPES registry on September 23, 2019.
Where is Jennifer Bolen located?
Jennifer Bolen practices at 5482 Ms-15, Ecru, MS 38841. The listed phone number is (662) 488-8799.
What is Jennifer Bolen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Bolen enrolled in Medicare?
Yes. Jennifer Bolen 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.
What insurance does Jennifer Bolen accept?
Health plans from Molina Healthcare list Jennifer Bolen 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 Jennifer Bolen was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jennifer Chism Bolen, FNP-C · NPI 1639720550
Family physician in Ecru, Mississippi. Individual provider, active in the CMS NPPES registry since September 23, 2019.
## Identity
- **NPI:** 1639720550 (Entity type: Individual)
- **Enumerated:** September 23, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F08191029 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5482 MS-15, Ecru, MS 38841
- **Phone:** (662) 488-8799
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1639720550) · Data from the CMS NPPES public registry.