VICKI K BOLTON ARNP
NPI 1811928187
Physician Assistant in Portland, OR
About Vicki K Bolton Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICKI K BOLTON ARNP (NPI 1811928187) is an individual physician assistant in Portland, Oregon, licensed in Oregon (202102582NP-PP) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vicki K Bolton Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Vicki Bolton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cheney, WA 99004
- Reassigned Medicare billing, Washington enrollment
- 278 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 862 clinicians in this Medicare group
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 97213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vicki Bolton's NPI number?
The NPI number for Vicki Bolton is 1811928187. It was assigned to this individual provider in the NPPES registry on July 5, 2006.
Where is Vicki Bolton located?
Vicki Bolton practices at 4400 NE Halsey St Bldg 23, Portland, OR 97213. The listed phone number is (888) 227-3312.
What is Vicki Bolton's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Vicki Bolton enrolled in Medicare?
Yes. Vicki Bolton is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Vicki Bolton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vicki Bolton reassigns Medicare benefits to 2 organizations: Community Health Association Of Spokane (Cheney, WA) and Providence Health & Services Washington (Spokane, WA). 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 Vicki Bolton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Vicki Bolton was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Vicki K Bolton, ARNP · NPI 1811928187
Physician Assistant physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1811928187 (Entity type: Individual)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 202102582NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4400 NE HALSEY ST BLDG 23, Portland, OR 97213-1545
- **Phone:** (888) 227-3312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Health Association Of Spokane (NPI 1013387836, Cheney, WA); Providence Health & Services Washington (NPI 1194099390, Spokane, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2022
- **Other identifiers:** Medicaid 9630351 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1811928187) · Data from the CMS NPPES public registry.