LACEY MAE BOLDEN APN
NPI 1740410703
Nurse Practitioner - Family in Nashville, TN

Q: What is Lacey Bolden's NPI number?

The NPI number for Lacey Bolden is 1740410703. It was assigned to this individual provider in the NPPES registry on July 23, 2009.

Q: What is Lacey Bolden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Bolden was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since July 23, 2009PECOS Enrolled

501 GREAT CIRCLE RD FL 3, NASHVILLE, TN 37228(615) 436-9060(615) 235-9725 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 19, 2026, Mar 3, 2023, Mar 31, 2017 (3 updates tracked since 2017).

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About Lacey Mae Bolden Apn NPPES

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

LACEY MAE BOLDEN APN (NPI 1740410703) is an individual family provider in Nashville, Tennessee, licensed in Tennessee (14287) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740410703

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLACEY MAE BOLDENCredential: APN

Location Address501 GREAT CIRCLE RD FL 3Nashville, TN 37228-1317

Mailing Address2204 Salem Woods DrRockvale, TN 37153-4178 · (931) 334-6507

Phone(615) 436-9060

Fax(615) 235-9725

Sole ProprietorNo

Enumeration DateJuly 23, 2009

Last NPPES UpdateMay 19, 20263 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1740410703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 14287

501 GREAT CIRCLE RD FL 3, Nashville, TN 37228

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Mae Bolden Apn 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 Lacey Bolden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carebridge Medical Group

Same address

Family Medicine

501 GREAT CIRCLE RD FL 3
Nashville, TN 37228

Reassigned Medicare billing, Tennessee enrollment
9 clinicians in this Medicare group

NPI 1124656616 (615) 436-9060

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 37228 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 20

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

DESTINEE RENEE OGEA

Nurse Practitioner (Acute Care)