Jessica Bolton, APN CPNP-PC
NPI 1417663485 · Pediatric Nurse Practitioner · Springfield, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Bolton, APN CPNP-PC is a Pediatric Nurse Practitioner provider in Springfield, IL (NPI 1417663485).
Provider details
- NPI number
- 1417663485
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN CPNP-PC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209019756 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5230 6th Street Frontage Rd ESpringfield, IL 62703-5128Phone: (217) 585-1180
Registry dates
- Enumerated
- 2023-01-24
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Frequently asked questions
- What is Jessica Bolton's NPI number?
- Jessica Bolton's National Provider Identifier (NPI) is 1417663485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Bolton's specialty?
- Jessica Bolton is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Bolton located?
- Jessica Bolton's practice location on file with NPPES is 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128.
- What is Jessica Bolton's phone number?
- The practice phone number listed in the NPPES registry for Jessica Bolton is (217) 585-1180.
- Does Jessica Bolton accept Medicare?
- Jessica Bolton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Bolton's NPI active?
- Yes — Jessica Bolton's NPI (1417663485) is active in the NPPES registry as of the last update on 2023-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.