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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VICTORIA BOLDEN
NPI 1871443036
Nurse Practitioner in Fort Wayne, IN

Active since January 29, 2026PECOS Enrolled
3909 NEW VISION DR, FORT WAYNE, IN 46845(260) 469-6610(260) 969-3065 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 21, 2026, Jan 29, 2026 (2 updates tracked since 2026).

About Victoria Bolden NPPES

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

VICTORIA BOLDEN (NPI 1871443036) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71018360A) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871443036
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameVICTORIA BOLDEN
Location Address3909 NEW VISION DRFort Wayne, IN 46845-1725
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 469-6610
Fax(260) 969-3065
Sole ProprietorNo
Enumeration DateJanuary 29, 2026
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1871443036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71018360A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3909 NEW VISION DR, Fort Wayne, IN 46845
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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)

Victoria Bolden is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 46845 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

MCKENNA A GOTTFRIED
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 425-5500
MS. DEBRA LAMMERS PA-C
Physician Assistant
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6610
GREGORY L CHUPP MD
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6610
KARA YACKEE
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6610
DR. MARY ANN O'BRIEN MD
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 496-6602
GREG R JOHNSON DO
Internal Medicine (Nephrology)
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6602
DR. JAMIE C BROEKHUIZEN D.O.
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6610
ALEXIS VICTORIA MOYER NURSE PRACTITIONER
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6610

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 Victoria Bolden's NPI number?

The NPI number for Victoria Bolden is 1871443036. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Where is Victoria Bolden located?

Victoria Bolden practices at 3909 New Vision Dr, Fort Wayne, IN 46845. The listed phone number is (260) 469-6610.

What is Victoria Bolden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Victoria Bolden enrolled in Medicare?

Yes. Victoria Bolden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Bolden was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.