| Audrey Anne Bolden, NP | |
|
100 Medical Plz, Lake St Louis, MO 63367-1366 | |
| (636) 625-5200 | |
| Not Available |
| Full Name | Audrey Anne Bolden |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 100 Medical Plz, Lake St Louis, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316455959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2018002061 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Kansas City Hospital | North kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meritas Health Corporation | 6305748153 | 434 |
| Entity Name | Meritas Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801875091 PECOS PAC ID: 6305748153 Enrollment ID: O20040122001058 |
| Entity Name | Cogent Healthcare Of Missouri Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780961599 PECOS PAC ID: 5597925099 Enrollment ID: O20120320000863 |
| Entity Name | Cole Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144578659 PECOS PAC ID: 0648420810 Enrollment ID: O20121024000296 |
| Entity Name | Mercy Hospital Lincoln |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150217000619 |
| Entity Name | Sound Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20170519000666 |
| Entity Name | Hospitalist Medicine Physicians Of Missouri - Bridgeton, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275012452 PECOS PAC ID: 2567713571 Enrollment ID: O20181001001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Anne Bolden, NP 9411 N Oak Trfy Ste Ll1, Kansas City, MO 64155-2262 Ph: (816) 691-1655 | Audrey Anne Bolden, NP 100 Medical Plz, Lake St Louis, MO 63367-1366 Ph: (636) 625-5200 |
Victoria Lynn Hines, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5200 Fax: 636-625-5314 | |
Akiko Okabe, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 314-317-0600 Fax: 314-317-0606 | |
Molly Lombardo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 221, Lake St Louis, MO 63367 Phone: 636-625-6041 | |
Katie D Schmidt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Medical Plz Ste 150, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Yunhee Choi Cruse, CNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5200 | |
Michelle Louise Wallweber, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21 Meadows Circle Dr Ste 324, Lake St Louis, MO 63367 Phone: 636-389-2488 | |
Katherine Elizabeth Benenati, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz Ste 150, Lake St Louis, MO 63367 Phone: 636-625-2662 Fax: 636-625-1644 |