DR. JANNIE MARIA BOLOTNIKOV MD, MPH
NPI 1750039145
Student in an Organized Health Care Education/Training Program in Denver, CO
About Dr. Jannie Maria Bolotnikov Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JANNIE MARIA BOLOTNIKOV MD, MPH (NPI 1750039145) is an individual student in an organized health care education/training program in Denver, Colorado, licensed in Colorado (0077058) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jannie Maria Bolotnikov Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
DENVER, CO 80204
DENVER, CO 80204
DENVER, CO 80204
DENVER, CO 80204
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 Jannie Bolotnikov's NPI number?
The NPI number for Jannie Bolotnikov is 1750039145. It was assigned to this individual provider in the NPPES registry on March 14, 2022.
Where is Jannie Bolotnikov located?
Jannie Bolotnikov practices at 777 Bannock St # Mc0108, Denver, CO 80204. The listed phone number is (303) 602-5193.
What is Jannie Bolotnikov's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jannie Bolotnikov enrolled in Medicare?
Yes. Jannie Bolotnikov is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jannie Bolotnikov was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Dr. Jannie Maria Bolotnikov, MD, MPH · NPI 1750039145
Student in an Organized Health Care Education/Training Program provider in Denver, Colorado. Individual provider, active in the CMS NPPES registry since March 14, 2022.
## Identity
- **NPI:** 1750039145 (Entity type: Individual)
- **Enumerated:** March 14, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 0077058 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 BANNOCK ST # MC0108, Denver, CO 80204-4507
- **Phone:** (303) 602-5193
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** September 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750039145) · Data from the CMS NPPES public registry.