Melissa Lynn Boldt, FNP-C is a medicare enrolled "Nurse Practitioner - Women's Health" physician in Green Bay, Wisconsin. She graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Green Bay Emergency Medicine Services Sc and her current practice location is
2845 Greenbrier Rd, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 288-8400.
Melissa Lynn Boldt is licensed to practice in Wisconsin (license number 15573) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558108688.
Physician's Profile
| Full Name | Melissa Lynn Boldt |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 2845 Greenbrier Rd, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Melissa Lynn Boldt graduated from medical school in 2024
NPI Data:
- NPI Number: 1558108688
- Provider Enumeration Date: 07/15/2024
- Last Update Date: 07/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 5193256857
- Enrollment ID: I20241004001759
Medical Identifiers
Medical identifiers for Melissa Lynn Boldt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558108688 | NPI | - | NPPES |
| 100285195 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207PE0004X | Emergency Medicine - Emergency Medical Services | 15573-33 (Wisconsin) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 15573 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Green Bay Emergency Medicine Services Sc | 9335170083 | 17 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Melissa Lynn Boldt allows following entities to bill medicare on her behalf.
| Entity Name | Green Bay Emergency Medicine Services Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366424111
PECOS PAC ID: 9335170083
Enrollment ID: O20050823000663 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Lynn Boldt is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Melissa Lynn Boldt, FNP-C
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Melissa Lynn Boldt, FNP-C
2845 Greenbrier Rd,
Green Bay, WI 54311-6519
Ph: (920) 288-8400 |
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