1. Home
  2. Directory
  3. Washington
  4. Lakewood
  5. Physician Assistant
  6. NPI Profile

MR. KEVIN J BOLLAND PA-C
NPI 1962543033
Physician Assistant in Lakewood, WA

Active since February 09, 2007PECOS Enrolled
10828 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499(360) 436-6594 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2021, Jul 13, 2020 (2 updates tracked since 2020).

About Mr. Kevin J Bolland Pa-c NPPES

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

MR. KEVIN J BOLLAND PA-C (NPI 1962543033) is an individual physician assistant in Lakewood, Washington, licensed in Washington (PA10003177) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962543033
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KEVIN J BOLLANDCredential: PA-C
Location Address10828 GRAVELLY LAKE DR SWLakewood, WA 98499-1334
Mailing Address19414 126th St EBonney Lake, WA 98391-6063 · (253) 740-3245 · Fax (253) 826-4972
Phone(360) 436-6594
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
✔ NPI 1962543033 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 WA · PA10003177
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 · MedicalTaxonomy 363AM0700X · License PA10003177 (WA)
10828 GRAVELLY LAKE DR SW, Lakewood, WA 98499
Open in Google Maps ↗

Other Identifiers 1

Other188614WA · Labor And Industries

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin J Bolland Pa-c 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 98499 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 5

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

JOSEPH ERCANBRACK
Behavior Technician
10828 GRAVELLY LAKE DR SW
TACOMA, WA 98499
Pierce County (904) 521-0890
CHRISTOPHER J BATES, DMD, PLLC
Dentist (General Practice)
10828 GRAVELLY LAKE DR SW, SUITE 111
LAKEWOOD, WA 98499
Pierce County (253) 584-3121
PROFESSIONAL REGISTRY OF NURSING, INC.
Nursing Care
10828 GRAVELLY LAKE DR SW, SUITE 201
LAKEWOOD, WA 98499
Pierce County (253) 617-7715
MS. DEENA MARIE GEORGE
Counselor (Addiction (Substance Use Disorder))
10828 GRAVELLY LAKE DR SW, SUITE 204
LAKEWOOD, WA 98499
Pierce County (253) 473-7474
TONYA MONTANA
Massage Therapist
10828 GRAVELLY LAKE DR SW, STE 112
LAKEWOOD, WA 98499
Pierce County (253) 582-3348

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 Kevin Bolland's NPI number?

The NPI number for Kevin Bolland is 1962543033. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Kevin Bolland located?

Kevin Bolland practices at 10828 Gravelly Lake Dr SW, Lakewood, WA 98499. The listed phone number is (360) 436-6594.

What is Kevin Bolland's specialty?

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

Is Kevin Bolland enrolled in Medicare?

Yes. Kevin Bolland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Bolland was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.