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DR. CRISTI LEE BOULDIN DPM
NPI 1649403080
Podiatrist - Foot & Ankle Surgery in Manchester, TN

Active since September 02, 2009PECOS EnrolledAccepts Medicare Assignment
108 N SPRING ST, MANCHESTER, TN 37355(931) 728-3988(931) 728-6530 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cristi Lee Bouldin Dpm NPPES

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

DR. CRISTI LEE BOULDIN DPM (NPI 1649403080) is an individual foot & ankle surgery provider in Manchester, Tennessee, licensed in Tennessee (727) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2009).

NPPES Registry Identity

NPI1649403080
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. CRISTI LEE BOULDINCredential: DPM
Location Address108 N SPRING STManchester, TN 37355-1563
Mailing Address108 N Spring StManchester, TN 37355-1563 · (931) 728-3988 · Fax (931) 728-6530
Phone(931) 728-3988
Fax(931) 728-6530
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2009
Enumeration DateSeptember 2, 2009
Last NPPES UpdateJuly 26, 2012
✔ NPI 1649403080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in TN · 727✔ Licensed in PA · SC006148
108 N SPRING ST, Manchester, TN 37355
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Other Names 1

Former Name (1)Dr. Cristi Lee Wart

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

Dr. Cristi Lee Bouldin Dpm 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.

PECOS PAC ID2961668728
PECOS Enrollment IDI20120723000628
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 3

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

ERIC B BOULDIN D.P.M.
Podiatrist (Foot & Ankle Surgery)
108 N SPRING ST, MANCHESTER
MANCHESTER, TN 37355
Coffee County (931) 728-3988
MIDDLE TENNESSEE FOOT ASSOCIATES P C
Podiatrist (Foot & Ankle Surgery)
108 N SPRING ST
MANCHESTER, TN 37355
Coffee County (931) 728-3988
MARK B SUPERSTEIN D.P.M.
Podiatrist (Foot & Ankle Surgery)
108 N SPRING ST
MANCHESTER, TN 37355
Coffee County (931) 728-3988

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 Cristi Bouldin's NPI number?

The NPI number for Cristi Bouldin is 1649403080. It was assigned to this individual provider in the NPPES registry on September 2, 2009. The provider is also known as Dr. Cristi Lee Wart.

Where is Cristi Bouldin located?

Cristi Bouldin practices at 108 N Spring St, Manchester, TN 37355. The listed phone number is (931) 728-3988.

What is Cristi Bouldin's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Cristi Bouldin enrolled in Medicare?

Yes. Cristi Bouldin 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.

When was this NPI record last updated?

The NPPES record for Cristi Bouldin was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.