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ROSSELVY ARELI SHIPLEY-BOLANIS DNP FNP-BC
NPI 1790676690
Nurse Practitioner - Family in Russellville, AR

Active since July 10, 2025PECOS EnrolledAccepts Medicare Assignment
106 WEIR RD STE 4, RUSSELLVILLE, AR 72802(479) 567-5652 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rosselvy Areli Shipley-bolanis Dnp Fnp-bc NPPES

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

ROSSELVY ARELI SHIPLEY-BOLANIS DNP FNP-BC (NPI 1790676690) is an individual family provider in Russellville, Arkansas, licensed in Arkansas (234090) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790676690
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSSELVY ARELI SHIPLEY-BOLANISCredential: DNP FNP-BC
Location Address106 WEIR RD STE 4Russellville, AR 72802-9409
Mailing Address4301 Sr 124Russellville, AR 72802-1286 · (479) 970-3754
Phone(479) 567-5652
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 10, 2025
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1790676690 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 AR · 234090
106 WEIR RD STE 4, Russellville, AR 72802
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rosselvy Areli Shipley-bolanis Dnp Fnp-bc 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 ID7810498169
PECOS Enrollment IDI20250828004024
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72802 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

APRIL HUNT APRN
Nurse Practitioner (Family)
106 WEIR RD STE 4
RUSSELLVILLE, AR 72802
Pope County (479) 567-5652

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 Rosselvy Shipley-bolanis's NPI number?

The NPI number for Rosselvy Shipley-bolanis is 1790676690. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Rosselvy Shipley-bolanis located?

Rosselvy Shipley-bolanis practices at 106 Weir Rd Ste 4, Russellville, AR 72802. The listed phone number is (479) 567-5652.

What is Rosselvy Shipley-bolanis's specialty?

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

Is Rosselvy Shipley-bolanis enrolled in Medicare?

Yes. Rosselvy Shipley-bolanis 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.

What insurance does Rosselvy Shipley-bolanis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Rosselvy Shipley-bolanis 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 Rosselvy Shipley-bolanis was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.