Crystal Marie Bolser, AGNP - Medicare Internal Medicine in Moline, IL

  1. Home
Crystal Marie Bolser, AGNP is a medicare enrolled "Internal Medicine" in Moline, Illinois. Her current practice location is 550 30th Ave Ste 12, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 736-5568.

Crystal Marie Bolser is licensed to practice in Illinois (license number 209031246) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518785146.

Contact Information

Crystal Marie Bolser, AGNP
550 30th Ave Ste 12,
Moline, IL 61265-5975
(309) 736-5568
(309) 736-1152

Map and Direction




Provider's Profile

Full NameCrystal Marie Bolser
GenderFemale
SpecialityInternal Medicine
Location550 30th Ave Ste 12, Moline, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518785146
  • Provider Enumeration Date: 10/02/2024
  • Last Update Date: 02/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4880105352
  • Enrollment ID: I20250612003739

Medical Identifiers

Medical identifiers for Crystal Marie Bolser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518785146NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner H181589 (Iowa)Secondary
207R00000XInternal Medicine 209031246 (Illinois)Primary

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. Crystal Marie Bolser allows following entities to bill medicare on her behalf.
Entity NameThomas D Ade Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912612771
PECOS PAC ID: 2860867959
Enrollment ID: O20230403000984

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. Crystal Marie Bolser 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 AddressPractice Location Address
Crystal Marie Bolser, AGNP
Po Box 623,
Walcott, IA 52773-0623

Ph: () -		Crystal Marie Bolser, AGNP
550 30th Ave Ste 12,
Moline, IL 61265-5975

Ph: (309) 736-5568

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.