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MELISSA BOLLES
NPI 1699234609
Nurse Practitioner - Adult Health in Minnetonka, MN

Active since March 19, 2019PECOS Enrolled
12700 WHITEWATER DR, MINNETONKA, MN 55343(612) 289-2385(844) 897-5371 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2019, Mar 19, 2019 (2 updates tracked since 2019).

About Melissa Bolles NPPES

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

MELISSA BOLLES (NPI 1699234609) is an individual adult health provider in Minnetonka, Minnesota, licensed in Minnesota (6493) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Zimmerman.

NPPES Registry Identity

NPI1699234609
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMELISSA BOLLES
Location Address12700 WHITEWATER DRMinnetonka, MN 55343-9438
Mailing Address12700 Whitewater DrMinnetonka, MN 55343-9438 · (612) 289-2385 · Fax (844) 897-5371
Phone(612) 289-2385
Fax(844) 897-5371
Sole ProprietorNo
Enumeration DateMarch 19, 2019
Last NPPES UpdateOctober 25, 20192 updates tracked since enumeration
✔ NPI 1699234609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MN · 6493
12700 WHITEWATER DR, Minnetonka, MN 55343
Open in Google Maps ↗

Secondary Practice Location 1

Location 126219 150th St NWZimmerman, MN 55398-8319 · Phone (612) 247-6014

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Bolles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Bolles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Homeward Physicians , PLLC
313 mi
General Practice
1414 W FAIR AVE STE 242
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan and Minnesota enrollments
  • 18 clinicians in this Medicare group
NPI 1538828314 (612) 644-4207

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 55343 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

BROOKE JOHNSON DNP, AGNP-C
Nurse Practitioner (Adult Health)
12700 WHITEWATER DR
MINNETONKA, MN 55343
Hennepin County (612) 398-9333

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 Melissa Bolles's NPI number?

The NPI number for Melissa Bolles is 1699234609. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Melissa Bolles located?

Melissa Bolles practices at 12700 Whitewater Dr, Minnetonka, MN 55343. The listed phone number is (612) 289-2385.

What is Melissa Bolles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Melissa Bolles enrolled in Medicare?

Yes. Melissa Bolles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Bolles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Bolles reassigns Medicare benefits to Homeward Physicians , PLLC (Marquette, MI). 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 Melissa Bolles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Bolles accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Melissa Bolles 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 Melissa Bolles was last updated on October 25, 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.