Ellisa Anne Bolton, NP
Pediatric Nurse Practitioner · Carmel, IN
Ellisa Anne Bolton, NP is a pediatric nurse practitioner with a practice address in Carmel, Indiana, and NPI 1902630254, issued on Aug 29, 2024. Check the license (Indiana 71015564A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ellisa Anne Bolton
- Credential
- NP
- Primary taxonomy
- Pediatric Nurse Practitioner 363LP0200X
- License numbers
- 71015564A IN
28241444A IN
Self-reported in NPPES; status is on the state search - Practice location
- 14828 Greyhound CT Ste 100, Carmel, IN 46032
- Phone
- (317) 688-5220
- Enumerated
- Aug 29, 2024
- Record last updated
- May 16, 2025
- Fax
- (317) 688-5220
- Medicaid ID
- 300097290 IN
- Medicare enrollment
- Enrolled (PECOS I20241007003841); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 14828 Greyhound CT Ste 100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Katelyn Becht, FNP-CFamily Nurse Practitioner1881028165
- Melissa Derosa, MDNeurology Physician1942416250
- Mark Freije, MDFamily Medicine Physician1932317849
- Michael Reilly, MDFamily Medicine Physician1235112244
- Mohammed Tarrabain, MDFamily Medicine Physician1437349180
- Hannah ThorntonFamily Nurse Practitioner1154839439
Verify Ellisa Anne Bolton in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 71015564ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- IU Health Medical Group LLCIndianapolis, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pediatric Nurse Practitioner providers in Indiana
There are 409 pediatric nurse practitioner records in Indiana.
Other pediatric nurse practitioner records in Indiana
- Elizabeth AdamsIndianapolis, IN1326800434
- Azza Ahmed, CPNPWest Lafayette, IN1124264502
- Erika Allen, NPIndianapolis, IN1891162178
- Carley Allen-Rose, APRNNew Albany, IN1972380939
- Caitlyn Alvar, NPIndianapolis, IN1437674207
- Mary Alvarado, NPIndianapolis, IN1417135179
- Jessamyn Ambler, NPIndianapolis, IN1881144715
- Anna Annee, NPShelbyville, IN1710572078
- Leslie Antonelli, MSN, RNGreenwood, IN1013193457
- Shelby Arles, NPNoblesville, IN1306568944
Common questions
What is Ellisa Anne Bolton, NP's NPI number?
Ellisa Anne Bolton, NP's National Provider Identifier (NPI) is 1902630254, issued on Aug 29, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Ellisa Anne Bolton, NP located?
The NPPES record lists a practice address at 14828 Greyhound CT Ste 100, Carmel, IN, 46032. Phone: (317) 688-5220. Providers update this record themselves, so call before visiting.
How can I verify Ellisa Anne Bolton, NP's license?
NPPES lists Indiana license number 71015564A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.