IndividualActive
Mary Ann Bolkovatz, CNS
NPI 1770509556 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Boulder, CO
Provider details
- NPI number
- 1770509556
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 67698 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4710 Table Mesa Dr Ste B
Boulder, CO 80305-4504
Phone: (303) 261-5037
Fax: (888) 466-0439
Street-level locationGet directions
Mailing address
4710 Table Mesa Dr Ste B
Boulder, CO 80305-4504
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.