ELLISA ANNE BOLTON NP
NPI 1902630254
Nurse Practitioner - Pediatrics in Carmel, IN

Active since August 29, 2024PECOS EnrolledAccepts Medicare Assignment
14828 GREYHOUND CT STE 100, CARMEL, IN 46032(317) 688-5220(317) 688-5220 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2025, Sep 30, 2024 (2 updates tracked since 2024).

About Ellisa Anne Bolton Np NPPES

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

ELLISA ANNE BOLTON NP (NPI 1902630254) is an individual pediatrics provider in Carmel, Indiana, licensed in Indiana (71015564A) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902630254
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameELLISA ANNE BOLTONCredential: NP
Location Address14828 GREYHOUND CT STE 100Carmel, IN 46032-5016
Mailing Address14828 Greyhound Ct Ste 100Carmel, IN 46032-5016 · (317) 688-5220 · Fax (317) 688-5220
Fax(317) 688-5220
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 29, 2024
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
NPI 1902630254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in IN · 71015564A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28241444A (IN)
14828 GREYHOUND CT STE 100, Carmel, IN 46032

Other Names 1

Former Name (1)Ellisa Anne Rucinski

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 1

Medicaid300097290IN

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

Ellisa Anne Bolton 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 ID6507397106
PECOS Enrollment IDI20241007003841
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 46032 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 8

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

Nurse Practitioner (Family)
14828 GREYHOUND CT STE 100
CARMEL, IN 46032
Family Medicine
14828 GREYHOUND CT STE 100
CARMEL, IN 46032
Family Medicine
14828 GREYHOUND CT STE 100
CARMEL, IN 46032
Preventive Medicine (Occupational Medicine)
14828 GREYHOUND CT STE 100
CARMEL, IN 46032
Preventive Medicine (Occupational Medicine)
14828 GREYHOUND CT STE 100
CARMEL, IN 46032
Nurse Practitioner (Family)
14828 GREYHOUND CT STE 100
CARMEL, IN 46032
Family Medicine
14828 GREYHOUND CT STE 100
CARMEL, IN 46032
Psychiatry & Neurology (Neurology)
14828 GREYHOUND CT STE 100
CARMEL, IN 46032

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 Ellisa Bolton's NPI number?

The NPI number for Ellisa Bolton is 1902630254. It was assigned to this individual provider in the NPPES registry on August 29, 2024. The provider is also known as Ellisa Anne Rucinski.

Where is Ellisa Bolton located?

Ellisa Bolton practices at 14828 Greyhound Ct Ste 100, Carmel, IN 46032. The listed phone number is (317) 688-5220.

What is Ellisa Bolton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Ellisa Bolton enrolled in Medicare?

Yes. Ellisa Bolton 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 Ellisa Bolton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Ellisa Bolton 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 Ellisa Bolton was last updated on May 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.