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DR. KERILYN BOLLMANN MD
NPI 1982660155
Internal Medicine in Phoenix, AZ

Active since April 25, 2006Opted out of Medicare · through Jun 7, 2028
11250 N TATUM BLVD STE 103, PHOENIX, AZ 85028(480) 460-8485(480) 504-0520 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 11, 2019, Jan 18, 2019 (2 updates tracked since 2019).

About Dr. Kerilyn Bollmann Md NPPES

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

DR. KERILYN BOLLMANN MD (NPI 1982660155) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (25919) and active in the NPI registry since April 2006. She has opted out of Medicare through June 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982660155
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KERILYN BOLLMANNCredential: MD
Location Address11250 N TATUM BLVD STE 103Phoenix, AZ 85028-2306
Mailing Address11250 N Tatum Blvd Ste 103Phoenix, AZ 85028-2306 · (480) 460-8485 · Fax (480) 504-0520
Phone(480) 460-8485
Fax(480) 504-0520
Sole ProprietorYes
Enumeration DateApril 25, 2006
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1982660155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 25919
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11250 N TATUM BLVD STE 103, Phoenix, AZ 85028
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Other Names 1

Former Name (1)Dr. Kerilyn Gwisdalla Md

Other Identifiers 1

Medicaid457673AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kerilyn Bollmann Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 7, 2018 through June 7, 2028.

Opt-Out Effective DateJune 7, 2018
Opt-Out In Effect ThroughJune 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85028 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Kerilyn Bollmann's NPI number?

The NPI number for Kerilyn Bollmann is 1982660155. It was assigned to this individual provider in the NPPES registry on April 25, 2006. The provider is also known as Dr. Kerilyn Gwisdalla MD.

Where is Kerilyn Bollmann located?

Kerilyn Bollmann practices at 11250 N Tatum Blvd Ste 103, Phoenix, AZ 85028. The listed phone number is (480) 460-8485.

What is Kerilyn Bollmann's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kerilyn Bollmann enrolled in Medicare?

No. Kerilyn Bollmann has opted out of Medicare through June 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kerilyn Bollmann was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.