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Jacqueline Bolin

Physician Assistant β€’ Mesa, AZ

Active NPI 1275119521 Individual Practitioner Female Practitioner
Practice location in NPPES

1157 S Crismon Rd
Mesa, AZ 852082661

Call 4807763790 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1157 S Crismon Rd

Mesa, AZ 852082661

Telephone 4807763790

30-day fills

1,901 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$45,876 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $19.84 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacqueline Bolin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jacqueline Bolin as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mesa and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Mesa, AZ (2024, 147 clinicians with data). Median for this group: 228. Middle half: 86 to 839.

More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Arizona (2024, 1,918 clinicians with data). Median for this group: 262. Middle half: 87 to 858.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Mesa, AZ (2024, 147 clinicians with data). Median for this group: $2,979. Middle half: $659 to $66,172.

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Arizona (2024, 1,918 clinicians with data). Median for this group: $4,324. Middle half: $786 to $82,682.

471 active clinicians are listed under Physician Assistant with a practice address in Mesa, AZ (3,743 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mesa

7.9% of these 471 clinicians have the CMS telehealth indicator.

38.9% of these 471 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $19.84.

Manufacturer Payment Nature Product Type Amount ($)
Pfizer Inc.
Food and Beverage
In-kind items and services
TRUMENBA General $19.84

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 106 9,500 $1,414.70 47
Metformin Hcl Metformin Hcl 77 6,794 $624.90 34
Losartan Potassium Losartan Potassium 52 4,700 $660.54 26
Amlodipine Besylate Amlodipine Besylate 48 3,970 $282.41 22
Lisinopril Lisinopril 41 3,525 $230.29 18
Levothyroxine Sodium Levothyroxine Sodium 36 2,700 $313.00 13
Fluticasone Propionate Fluticasone Propionate 30 1,800 $365.68 16
Ezetimibe Ezetimibe 27 2,370 $1,066.26 14
Rosuvastatin Calcium Rosuvastatin Calcium 26 2,290 $235.94 14
Gabapentin Gabapentin 23 1,470 $362.47 12
Hydrochlorothiazide Hydrochlorothiazide 20 1,680 $61.81 13
Omeprazole Omeprazole 17 1,334 $447.36 β€”
Trulicity Dulaglutide 17 986 $33,645.28 β€”
Alendronate Sodium Alendronate Sodium 16 1,344 $150.31 β€”
Metoprolol Succinate Metoprolol Succinate 15 1,350 $357.70 β€”
Pantoprazole Sodium Pantoprazole Sodium 15 1,290 $147.03 β€”
Pioglitazone Hcl Pioglitazone Hcl 15 1,350 $102.12 β€”
Hydroxyzine Hcl Hydroxyzine Hcl 14 1,020 $357.20 β€”
Alcohol Pads Alcohol Antiseptic Pads 14 1,400 $1,718.42 β€”
Famotidine Famotidine 13 1,030 $306.71 β€”
Montelukast Sodium Montelukast Sodium 12 1,090 $184.87 β€”
Glipizide Glipizide 12 1,080 $58.55 β€”
Albuterol Sulfate Hfa Albuterol Sulfate 12 357 $177.33 β€”
Diclofenac Sodium Diclofenac Sodium 11 309 $292.21 β€”
Lantus Insulin Glargine,hum.Rec.Anlog 11 762 $2,120.19 β€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20211216000455

Enrollment State Jurisdiction

AZ

PECOS Control ID

9436540002

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Melissa Morissette , FNP-C

Nurse Practitioner - Family

NPI 1730627498

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location January 10, 2022

Registered at 1157 S CRISMON RD, MESA, AZ 852082661 (Tel: 4807763790)

βœ…
NPI Profile Active March 18, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 18, 2021

Registered at 435 N 5TH ST, PHOENIX, AZ 850042157 (Tel: 4805213825)

πŸ“
Business Mailing Address (Initial Record) March 18, 2021

Registered at 14247 S 47TH PL, PHOENIX, AZ 850446206 (Tel: 4805213825)

πŸ‘€
Provider Name / Credentials (Initial Record) March 18, 2021

Recorded as JACQUELINE BOLIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 18, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275119521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2021
Last Update: January 10, 2022
Sole Proprietor: Yes

Other Physician Assistants in Mesa

All Physician Assistants in Mesa

Mailing Address

14247 S 47th Pl

Phoenix, AZ 850446206

Phone: 4805213825

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.