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Active NPI 1083083638 Individual Practitioner Female Practitioner

Kimberly Ellen Boldon , NP-C

Nurse Practitioner • Middletown, CT

Professional Overview & Biography Verified Profile Summary

Kimberly Boldon, NP-C is a certified Nurse Practitioner practicing in Middletown, CT. With approximately 11 years of clinical experience since completing medical education in 2015, Kimberly Boldon delivers high-quality medical care to the local community at 11 S MAIN ST.

Kimberly Boldon is affiliated with The Dermatology Center Of Connecticut Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11 S Main St

Middletown, CT 064573656

Telephone 8603474555
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Middletown, CT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +1.0 yrs vs City Avg
City Avg: 10.0 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
25 Specialists

Practicing in Middletown, CT (941 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boldon (11 Years) 11 Yrs
Middletown Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $191.07 $98.98

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CT 6303

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

The Dermatology Center Of Connecticut Llc

825 Meriden Waterbury Tpke, Southington, CT 064894156

Phone: 2039808787

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Brooklyn Mickolyzck , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1376226613

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Dr. Eric Thomas , MD

Dermatology - Procedural Dermatology

NPI 1649290289

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active July 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2017

Registered at 11 S MAIN ST, MIDDLETOWN, CT 064573656 (Tel: (860) 347-4555)

📍
Updated Business Mailing Address July 11, 2017

Registered at 11 S MAIN ST, MIDDLETOWN, CT 064573656 (Tel: (860) 347-4555)

👤
Provider Name / Credentials Updated July 11, 2017

Recorded as KIMBERLY BOLDON, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2017

Nurse Practitioner (License #6303 in CT)

NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2016

Registered at 71 WALL ST, MADISON, CT 064433121 (Tel: 2034216674)

📍
Updated Business Mailing Address November 30, 2016

Registered at 71 WALL ST, MADISON, CT 064433121 (Tel: 2034216674)

👤
Provider Name / Credentials Updated November 30, 2016

Recorded as KIMBERLY BOLDON, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Nurse Practitioner (License #6303 in CT)

🟢
Initial NPI Registration & Enumeration September 24, 2015

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: 1083083638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2015
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

11 S Main St

Middletown, CT 064573656

Phone: 8603474555

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.