BAILEY N. BOLTZ PA-C
NPI 1831790591
Physician Assistant - Surgical in Puyallup, WA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since November 07, 2020PECOS EnrolledAccepts Medicare Assignment

3801 5TH ST SE STE 110, PUYALLUP, WA 98374(253) 845-9585 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 18, 2022, Dec 16, 2020, Nov 15, 2020 and 1 more (4 updates tracked since 2020).

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About Bailey N. Boltz Pa-c NPPES

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

BAILEY N. BOLTZ PA-C (NPI 1831790591) is an individual surgical provider in Puyallup, Washington, licensed in Washington (PA61101539) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Multicare Good Samaritan Hospital, and maintains a secondary practice location in Bonney Lake.

NPPES Registry Identity

NPI1831790591

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameBAILEY N. BOLTZCredential: PA-C

Location Address3801 5TH ST SE STE 110Puyallup, WA 98374-2106

Mailing Address3801 5th St Se Ste 110Puyallup, WA 98374-2106 · (253) 845-9585 · Fax (253) 848-1126

Phone(253) 845-9585

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 7, 2020

Last NPPES UpdateAugust 18, 20224 updates tracked since enumeration

NPPES CertifiedAugust 18, 2022

✔ NPI 1831790591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WA · PA61101539

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA61101539 (WA)

3801 5TH ST SE STE 110, Puyallup, WA 98374

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Other Names 1

Former Name (1)Bailey N. Mantha-nagrant Pa-c

Secondary Practice Location 1

Location 120920 SR 410 EBonney Lake, WA 98391-6302 · Phone (253) 845-9585 · Fax (253) 848-1126

Other Identifiers 1

Medicaid2171601WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Bailey N. Boltz Pa-c 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 ID9638581499

PECOS Enrollment IDI20201218002487

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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.

91 services57 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

68 services24 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

62 services26 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

23 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500079

Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN LORRIS BOWERS M.D.

Orthopaedic Surgery