Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801801568 Individual Practitioner Female Practitioner

Mary Cay Bolser , ARNP

Nurse Practitioner • Danville, IL

Professional Overview & Biography Verified Profile Summary

Mary Bolser, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Danville, IL. Practice services are available at 311 W FAIRCHILD ST under active NPI credentials.

Frequently performed procedures and clinical services include 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

311 W Fairchild St

Danville, IL 618323876

Telephone 2174317898
Fax 2175541750
Associated Practice Facility / Clinic
🏢 Carle Foundation Hospital Facility NPI 1053467050

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Danville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
34 Specialists

Practicing in Danville, IL (4929 Statewide)

Telehealth Adoption Rate
8.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
45 21 $189.00 $88.24

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-000358

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rr Group
CE9335 (IL)
Commercial Insurance / Payer ID Rr Medicare Number
P00393307 (IL)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Mari Roberts , LCSW

Social Worker - Clinical

NPI 1184750135

Licensed Clinical Social Worker

Jack Richey , LCSW

Social Worker - Clinical

NPI 1225121510

Licensed Clinical Social Worker

Dr. Kort Knous , MD

Psychiatry & Neurology - Psychiatry

NPI 1285257469

Doctor of Medicine (M.D.)

Debora O'brien , PA

Physician Assistant

NPI 1417008582

Physician Assistant

Shannon Donnals

Social Worker - Clinical

NPI 1437585288
Darla O'shaughnessy , NP

Nurse Practitioner

NPI 1487705687

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 19, 2018

Registered at 311 W FAIRCHILD ST, DANVILLE, IL 618323876 (Tel: 2174317898)

📍
Updated Business Mailing Address March 19, 2018

Registered at 611 W PARK ST, URBANA, IL 618012529 (Tel: 2173833311)

👤
Provider Name / Credentials Updated March 19, 2018

Recorded as MARY BOLSER, ARNP

NPI Profile Active March 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2014

Registered at 2920 VETERANS MEMORIAL DR, MOUNT VERNON, IL 628645924 (Tel: 6182446544)

📍
Updated Business Mailing Address March 03, 2014

Registered at PO BOX 155, CHRISTOPHER, IL 628220155 (Tel: 6187242401)

👤
Provider Name / Credentials Updated March 03, 2014

Recorded as MARY DECLUE, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2014

Nurse Practitioner (License #209-000358 in IL)

🟢
Initial NPI Registration & Enumeration July 30, 2006

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: 1801801568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2006
Last Update: March 19, 2018
Sole Proprietor: No

Mailing Address

611 W Park St

Urbana, IL 618012529

Phone: 2173833311

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.