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

Stephen Bolivar, NP

Individual provider Family Nurse Practitioner · NPI 1598199291

Stephen Bolivar, NP is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2012, 14 years ago. Practices with Baptist Memorial Medical Group, Inc, a 571-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
14
Licensed in
MS
In the registry since
2013
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

401 Southcrest Cir Ste 202
Southaven, MS 38671-6719
Phone: (662) 536-2281
Fax: (901) 763-3694
Show map & directions

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

Additional practice locations (3)

  • 8138 Country Village Dr, Cordova, TN 38016-2029 — (901) 725-8606
  • 2100 Exeter Rd, Germantown, TN 38138-3966 — (901) 757-1350
  • 5659 S Rex Rd, Memphis, TN 38119-3821 — (901) 763-3636

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 888641 (MS)

Record details

NPI number1598199291
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 29, 2013
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address3158 Meadows Way, Hernando, MS 38632-1090

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Baptist Memorial Medical Group, Inc. — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southaven