MRS. LISA MICHELLE BOLTON A.P.N.
NPI 1699084244
Nurse Practitioner - Family in Bellevue, WA
About Mrs. Lisa Michelle Bolton A.p.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LISA MICHELLE BOLTON A.P.N. (NPI 1699084244) is an individual family provider in Bellevue, Washington, licensed in Washington (AP60466554) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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)
Mrs. Lisa Michelle Bolton A.p.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Bolton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aiea, HI 96701
- Reassigned Medicare billing, Hawaii enrollment
- 55 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 98004 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 Lisa Bolton's NPI number?
The NPI number for Lisa Bolton is 1699084244. It was assigned to this individual provider in the NPPES registry on September 30, 2010. The provider is also known as Lisa Michelle Young.
Where is Lisa Bolton located?
Lisa Bolton practices at 1035 116th Ave NE, Bellevue, WA 98004. The listed phone number is (901) 896-9898.
What is Lisa Bolton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Bolton enrolled in Medicare?
Yes. Lisa Bolton is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Bolton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bolton reassigns Medicare benefits to Emergency Medicine Physicians Of Honolulu Pali Momi, LLC (Aiea, HI). 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 Lisa Bolton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Bolton accept?
Health plans from HMSA list Lisa 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.
When was this NPI record last updated?
The NPPES record for Lisa Bolton was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Lisa Michelle Bolton, A.P.N. · NPI 1699084244
Family physician in Bellevue, Washington. Individual provider, active in the CMS NPPES registry since September 30, 2010.
## Identity
- **NPI:** 1699084244 (Entity type: Individual)
- **Enumerated:** September 30, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP60466554 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1035 116TH AVE NE, Bellevue, WA 98004-4604
- **Phone:** (901) 896-9898
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Medicine Physicians Of Honolulu Pali Momi, LLC (NPI 1699076976, Aiea, HI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1699084244) · Data from the CMS NPPES public registry.