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SHELBY KRISTINE BOLIN
NPI 1760998728
Counselor - Mental Health in Van Meter, IA

Active since December 28, 2017PECOS Enrolled
2675 TRACY AVE, VAN METER, IA 50261(816) 509-0890 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 1, 2026, Jan 26, 2026, Dec 28, 2017 (3 updates tracked since 2017).

About Shelby Kristine Bolin NPPES

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

SHELBY KRISTINE BOLIN (NPI 1760998728) is an individual mental health provider in Van Meter, Iowa, licensed in Iowa (136091) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760998728
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHELBY KRISTINE BOLIN
Location Address2675 TRACY AVEVan Meter, IA 50261-6204
Mailing Address2675 Tracy AveVan Meter, IA 50261-6204 · (816) 509-0890
Phone(816) 509-0890
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 28, 2017
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1760998728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 136091
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2017022231 (MO)
2675 TRACY AVE, Van Meter, IA 50261
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Kristine Bolin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709368996
PECOS Enrollment IDI20260318001836
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.

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 Shelby Bolin's NPI number?

The NPI number for Shelby Bolin is 1760998728. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is Shelby Bolin located?

Shelby Bolin practices at 2675 Tracy Ave, Van Meter, IA 50261. The listed phone number is (816) 509-0890.

What is Shelby Bolin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shelby Bolin enrolled in Medicare?

Yes. Shelby Bolin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Bolin was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.