Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Michelle Bolen, FNP-C

Individual provider Family Nurse Practitioner · NPI 1821441833

Amy Michelle Bolen, FNP-C is a Nurse Practitioner in Dayton, Ohio. Qualified in 2016, 10 years ago. Practices with Pai Participant 1 LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424
Phone: (937) 734-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.019339 (OH)

Record details

NPI number1821441833
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESJuly 14, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pai Participant 1 Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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