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

Meredith Storm Bolt, PA

Individual provider Physician Assistant · NPI 1356886584

Meredith Storm Bolt, PA is a Physician Assistant in Bethany, Oklahoma. Qualified in 2016, 10 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2701 N Rockwell Ave
Bethany, OK 73008-5246
Phone: (405) 789-4150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2714 (OK)

Record details

NPI number1356886584
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 26, 2016
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address2701 N Rockwell Ave, Bethany, OK 73008-5246

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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