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Active NPI 1275119521 Individual Practitioner Female Practitioner

Jacqueline Bolin

Physician Assistant • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Jacqueline Bolin is a registered healthcare professional specializing in Physician Assistant in Mesa, AZ. Practice services are available at 1157 S CRISMON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1157 S Crismon Rd

Mesa, AZ 852082661

Telephone 4807763790

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
474 Specialists

Practicing in Mesa, AZ (3711 Statewide)

Telehealth Adoption Rate
8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Melissa Morissette , FNP-C

Nurse Practitioner - Family

NPI 1730627498

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location January 10, 2022

Registered at 1157 S CRISMON RD, MESA, AZ 852082661 (Tel: 4807763790)

NPI Profile Active March 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2021

Registered at 435 N 5TH ST, PHOENIX, AZ 850042157 (Tel: 4805213825)

📍
Updated Business Mailing Address March 18, 2021

Registered at 14247 S 47TH PL, PHOENIX, AZ 850446206 (Tel: 4805213825)

👤
Provider Name / Credentials Updated March 18, 2021

Recorded as JACQUELINE BOLIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275119521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2021
Last Update: January 10, 2022
Sole Proprietor: Yes

Mailing Address

14247 S 47th Pl

Phoenix, AZ 850446206

Phone: 4805213825

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.