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: August 16, 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).

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 CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Tira Lynn Bolder Np 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 ID6800031410
PECOS Enrollment IDI20200401003025
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 75216 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

General Acute Care Hospital
4500 S LANCASTER RD
DALLAS, TX 75216
Respiratory Therapist, Registered
4500 S LANCASTER RD
DALLAS, TX 75216
Respiratory Therapist, Registered
4500 S LANCASTER RD
DALLAS, TX 75216
Social Worker (Clinical)
4500 S LANCASTER RD
DALLAS, TX 75216
Psychologist (Clinical)
4500 S LANCASTER RD
DALLAS, TX 75216
Pharmacist
4500 S LANCASTER RD
DALLAS, TX 75216
Pharmacist
4500 S LANCASTER RD
DALLAS, TX 75216
Physical Therapist
4500 S LANCASTER RD
DALLAS, TX 75216

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 Tira Bolder's NPI number?

The NPI number for Tira Bolder is 1902176605. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Where is Tira Bolder located?

Tira Bolder practices at 4500 S Lancaster Rd, Dallas, TX 75216. The listed phone number is (214) 857-4316.

What is Tira Bolder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tira Bolder enrolled in Medicare?

Yes. Tira Bolder 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 Tira Bolder accept?

Health plans from Blue Cross and Blue Shield of Texas list Tira Bolder 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.

When was this NPI record last updated?

The NPPES record for Tira Bolder was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.