MS. TIRA LYNN BOLDER NP
NPI 1902176605
Nurse Practitioner - Acute Care in Dallas, TX

Active since January 11, 2012PECOS EnrolledAccepts Medicare Assignment
4500 S LANCASTER RD, DALLAS, TX 75216(214) 857-4316 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 21, 2025, Oct 14, 2016 (2 updates tracked since 2016).

About Ms. Tira Lynn Bolder Np NPPES

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

MS. TIRA LYNN BOLDER NP (NPI 1902176605) is an individual acute care provider in Dallas, Texas, licensed in Texas (AP121853) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2006).Information from the official NPPES registry record.

NPPES Registry Identity

NPI1902176605
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. TIRA LYNN BOLDERCredential: NP
Location Address4500 S LANCASTER RDDallas, TX 75216-7167
Mailing Address475 E Fm 1382 Unit 4321Cedar Hill, TX 75106-5198 · (945) 240-1598
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 11, 2012
Last NPPES UpdateFebruary 21, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
NPI 1902176605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in TX · AP121853 Licensed in KS · 53-460003-032
4500 S LANCASTER RD, Dallas, TX 75216

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Tira Bolder is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Tira Bolder is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6800031410

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200401003025

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.04 for a new patient copayment and $25.2 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 75216 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.19
  • Minimum New Patient Price $57.18
  • Maximum New Patient Price $172.86
  • Average New Patient Copayment $22.04
  • Minimum New Patient Copayment $14.29
  • Maximum New Patient Copayment $43.21

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.8
  • Minimum Established Patient Price $18.48
  • Maximum Established Patient Price $141.2
  • Average Established Patient Copayment $25.2
  • Minimum Established Patient Copayment $4.62
  • Maximum Established Patient Copayment $35.3

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MS. TIRA LYNN BOLDER NP

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
4500 S LANCASTER RD
DALLAS, TX 75216
Internal Medicine (Gastroenterology)
4500 S LANCASTER RD, GASTRO 111B1, DVAMC
DALLAS, TX 75216
Pharmacist (Pharmacotherapy)
4500 S LANCASTER RD
DALLAS, TX 75216
Physician Assistant (Medical)
4500 S LANCASTER RD
DALLAS, TX 75216
Physician Assistant
4500 S LANCASTER RD, NORTH TEXAS HEALTH CARE SYSTEM, (1121)
DALLAS, TX 75216
Physician Assistant
4500 S LANCASTER RD
DALLAS, TX 75216
Internal Medicine
4500 S LANCASTER RD, AMB CARE 11C
DALLAS, TX 75216
Kinesiotherapist
4500 S LANCASTER RD
DALLAS, TX 75216
Registered Nurse
4500 S LANCASTER RD
DALLAS, TX 75216
Social Worker
4500 S LANCASTER RD
DALLAS, TX 75216
Social Worker (Clinical)
4500 S LANCASTER RD, MH COPPER TEAM 116A
DALLAS, TX 75216
Audiologist
4500 S LANCASTER RD, AUDIOLOGY 126, VA MEDICAL CENTER
DALLAS, TX 75216
Social Worker (Clinical)
4500 S LANCASTER RD
DALLAS, TX 75216
Social Worker (Clinical)
4500 S LANCASTER RD
DALLAS, TX 75216
Kinesiotherapist
4500 S LANCASTER RD, (PM&R 117)
DALLAS, TX 75216
Kinesiotherapist
4500 S LANCASTER RD
DALLAS, TX 75216
Social Worker
4500 S LANCASTER RD
DALLAS, TX 75216
Dietitian, Registered
4500 S LANCASTER RD, 120
DALLAS, TX 75216
Social Worker (Clinical)
4500 S LANCASTER RD
DALLAS, TX 75216
Pathology (Anatomic Pathology & Clinical Pathology)
4500 S LANCASTER RD, VANTHCS, PATH & LAB MED SVC (113)
DALLAS, TX 75216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902176605, enumerated as an "individual" on January 11, 2012.

The provider is located at 4500 S LANCASTER RD DALLAS, TX 75216 and the phone number is (214) 857-4316.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.