Jacqueline Bolmer, NP-C
NPI 1619236908ActiveIndividual· Nurse Practitioner, Family· Mount Orab, OH
Nurse Practitioner, Family (NP-C) in Mount Orab, Ohio, licensed in OH, with an NPI issued in May 2012. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1619236908 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | May 8, 2012 |
| Last updated in NPPES | May 8, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | COA.13279-NP | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL); Practitioner - Nurse Practitioner (KY); Practitioner - Nurse Practitioner (MI); Practitioner - Nurse Practitioner (NE); Practitioner - Nurse Practitioner (OH); Practitioner - Nurse Practitioner (SC); Practitioner - Nurse Practitioner (TX); Practitioner - Nurse Practitioner (VA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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