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KATELYN BOLDON N.P
NPI 1790167419
Nurse Practitioner - Psychiatric/Mental Health in Hilliard, OH

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment
4432 SWENSON ST, HILLIARD, OH 43026(937) 243-7857 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katelyn Boldon N.p NPPES

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

KATELYN BOLDON N.P (NPI 1790167419) is an individual psychiatric/mental health provider in Hilliard, Ohio, licensed in Ohio (17927) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790167419
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATELYN BOLDONCredential: N.P
Location Address4432 SWENSON STHilliard, OH 43026-3804
Mailing Address4432 Swenson StHilliard, OH 43026-3804 · (937) 243-7857
Phone(937) 243-7857
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 19, 2015
Last NPPES UpdateAugust 6, 2015
✔ NPI 1790167419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · 17927
Also ListedRegistered NurseTaxonomy 163W00000X · License 400921 (OH)
4432 SWENSON ST, Hilliard, OH 43026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn Boldon N.p is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567757982
PECOS Enrollment IDI20160824002731
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 Reassignments

2

Medicare enrollment records show Katelyn Boldon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Horizons Mental Health Services, Inc.
32 mi
Mental Health
2652 KULL RD
Lancaster, OH 43130
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group
NPI 1174576680 (740) 687-0835
Ohioguidestone
110 mi
Family Medicine
2173 N RIDGE RD E STE G
Lorain, OH 44055
  • Reassigned Medicare billing, Ohio enrollment
  • 234 clinicians in this Medicare group
NPI 1487452603 (440) 260-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
182 services57 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
126 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services46 patients
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg J2426
Paliperidone palmitate extended-release injection is a medication used in the treatment of certain mental/mood disorders, such as schizophrenia. It helps to reduce symptoms by affecting certain substances in the brain.
75 services15 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Katelyn Boldon's NPI number?

The NPI number for Katelyn Boldon is 1790167419. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Katelyn Boldon located?

Katelyn Boldon practices at 4432 Swenson St, Hilliard, OH 43026. The listed phone number is (937) 243-7857.

What is Katelyn Boldon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Katelyn Boldon enrolled in Medicare?

Yes. Katelyn Boldon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katelyn Boldon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Boldon reassigns Medicare benefits to 2 organizations: New Horizons Mental Health Services, Inc. (Lancaster, OH) and Ohioguidestone (Lorain, OH). Each 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 Katelyn Boldon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Boldon accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Katelyn Boldon 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 Katelyn Boldon was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.