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SIERRA BOLLES PA-C
NPI 1881178655
Physician Assistant in West Valley, UT

Active since September 18, 2018PECOS EnrolledAccepts Medicare Assignment
3336 SOUTH 4155 WEST #102, WEST VALLEY, UT 84120(801) 964-3925 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2024, May 3, 2022, Sep 18, 2018 (3 updates tracked since 2018).

About Sierra Bolles Pa-c NPPES

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

SIERRA BOLLES PA-C (NPI 1881178655) is an individual physician assistant in West Valley, Utah, licensed in Utah (10977713-1206) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital-jordan Valley, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1881178655
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSIERRA BOLLESCredential: PA-C
Location Address3336 SOUTH 4155 WEST #102West Valley, UT 84120
Mailing Address3336 South 4155 West #102West Valley, UT 84120 · (801) 964-3925
Phone(801) 964-3925
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 18, 2018
Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1881178655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 10977713-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 10977713-1206 (UT)

Other Names 1

Former Name (1)Sierra Burt Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Select Health 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

Sierra Bolles 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 ID4789927781
PECOS Enrollment IDI20190514003090
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.

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84120 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 Sierra Bolles's NPI number?

The NPI number for Sierra Bolles is 1881178655. It was assigned to this individual provider in the NPPES registry on September 18, 2018. The provider is also known as Sierra Burt Pa-C.

Where is Sierra Bolles located?

Sierra Bolles practices at 3336 South 4155 West #102, West Valley, UT 84120. The listed phone number is (801) 964-3925.

What is Sierra Bolles's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sierra Bolles enrolled in Medicare?

Yes. Sierra Bolles 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 Sierra Bolles accept?

Health plans from Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Select Health and University of Utah Health Plans list Sierra Bolles 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.

Is Sierra Bolles affiliated with any hospitals?

According to CMS data, Sierra Bolles is affiliated with Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Sierra Bolles was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.