Ellisa Anne Bolton, NP
NPI 1902630254ActiveIndividual· Nurse Practitioner, Pediatrics· Carmel, IN
Nurse Practitioner, Pediatrics (NP) with Iu Health Medical Group LLC, practicing in Carmel, Indiana. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1902630254 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Aug 29, 2024 |
| Last updated in NPPES | May 16, 2025 |
| Certified by provider | May 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 71015564A | IN |
| Registered Nurse | 163W00000X | 28241444A | IN |
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 (IN) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Iu Health Medical Group LLCIndianapolis, IN · 4,462 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pediatric nurse practitioners in Carmel
- 1437160413
- 1093808982
- 1508051285
- 1942435177
- 1588945737
- 1184872418
- 1134385628