Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laura Bolen

Individual provider Registered Nurse · NPI 1558879379

Laura Bolen is a Nurse Practitioner in Kendallville, Indiana. Qualified in 2017, 9 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

512 Professional Way
Kendallville, IN 46755-2927
Phone: (260) 347-8556
Fax: (260) 347-8557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71007911A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28194100A (IN)

Record details

NPI number1558879379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2018
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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