MARYANNE BOLT APRN
NPI 1912378050
Nurse Practitioner in Tulsa, OK

Q: What is Maryanne Bolt's NPI number?

The NPI number for Maryanne Bolt is 1912378050. It was assigned to this individual provider in the NPPES registry on October 15, 2015.

Q: What is Maryanne Bolt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maryanne Bolt was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 15, 2015PECOS Enrolled

78.77/100

CMS Quality Rating

2488 E 81ST ST STE 2000, TULSA, OK 74137(918) 481-4700(918) 592-2020 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2025, May 12, 2017 (2 updates tracked since 2017).

On this page

About Maryanne Bolt Aprn NPPES

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

MARYANNE BOLT APRN (NPI 1912378050) is an individual nurse practitioner in Tulsa, Oklahoma, licensed in Oklahoma (98345) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rogers.

NPPES Registry Identity

NPI1912378050

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARYANNE BOLTCredential: APRN

Location Address2488 E 81ST ST STE 2000Tulsa, OK 74137-4224

Mailing Address2488 E 81st St Ste 2000Tulsa, OK 74137-4224 · (918) 592-9020 · Fax (918) 481-4709

Phone(918) 481-4700

Fax(918) 592-2020

Sole ProprietorNo

Enumeration DateOctober 15, 2015

Last NPPES UpdateMay 9, 20252 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1912378050 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 OK · 98345

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.

2488 E 81ST ST STE 2000, Tulsa, OK 74137

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Secondary Practice Location 1

Location 1593 S Horsebarn RdRogers, AR 72758-8795 · Phone (479) 844-9020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 (PECOS)

Maryanne Bolt Aprn 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 74137 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.93

Promoting Interoperability

Improvement Activities

Cost

43.14

Other Providers at the Same Location NPPES 7

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

MATTHEW L CARMICHAEL D.O.

Emergency Medicine (Emergency Medical Services)