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Willie Mary Bolden

NPI 1518428283ActiveIndividual· Nurse Practitioner, Family· Shaw, MS

Nurse Practitioner, Family with Fast Pace Mississippi PLLC and 3 other groups, practicing in Shaw, Mississippi. Their prescriptions cost Medicare Part D more than their services did: $8,111 for 392 claims, against $3,222 paid for services in 2024. Teva Pharmaceuticals USA, Inc. reported $21.64 in payments in 2025, mostly food and beverage.

Overview

NPI1518428283
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 26, 2019
Last updated in NPPESMar 26, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X903205MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MS)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients41
Services billed144 across 14 procedure codes
Paid by Medicare$3,222

Part D prescriptions in 2024

Prescriptions (claims)392 · 463 30-day fills
Patients112
Total drug cost$8,111
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Graduation year2018
Medicare specialtyNurse Practitioner

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$21.64 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Teva Pharmaceuticals USA, Inc.$21.641

What the 2025 payments were for

  • Food and Beverage$21.64 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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