Doctor profile · Federal record

Dr. Shannon Bolt, ARNP

Family Nurse Practitioner (CMS: Nurse Practitioner) · Registered Nurse · Yakima, WA

  • NPI 1083006522
  • Accepts Medicare
  • 4 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4209 Tieton Dr
Yakima, WA 989083377
(509) 654-9810
fax (509) 966-8812

Credentials & registration

NPPES · NUCC
NPI registered
February 2015 — 11 yrs on file
Profile last updated
November 21, 2022
Year of graduation
2022 — 4 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State licenses (2)
Washington #AP61369683 · Washington #RN60528267

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1083006522. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
326
Distinct HCPCS
6
Medicare allowed
$13,229
HCPCS Description Services Patients Avg allowed
17003 Destruction of precancer skin growth, 2-14 growths 163 34 $6
99203 New patient office or other outpatient visit, 30-44 minutes 45 45 $95
17000 Destruction of precancer skin growth, 1 growth 42 38 $43
99213 Established patient office or other outpatient visit, 20-29 minutes 31 26 $76
11102 Biopsy of related skin growth, first growth 24 23 $79
17110 Destruction of skin growth, 1-14 growths 21 20 $94

In context: peer comparison

Among 18 peers in this city , average services per provider: 66. This provider delivers 4.9× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$537
Transactions
17
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Janssen Biotech, Inc. 12 $399.36
Lilly USA, LLC 2 $52.36
GENZYME CORPORATION 1 $48.58
Incyte Corporation 2 $36.67

By nature of payment

Food and Beverage
$437
Education
$100

Frequently asked questions

Auto-generated from federal data
What is Dr. Shannon Bolt's medical specialty?
Dr. Shannon Bolt practices Family Nurse Practitioner in Yakima, WA.
Where does Dr. Shannon Bolt practice?
Dr. Shannon Bolt practices at 4209 Tieton Dr, Yakima, WA 989083377. Office phone: 5096549810.
What is Dr. Shannon Bolt's NPI?
Dr. Shannon Bolt's National Provider Identifier (NPI) is 1083006522, issued by NPPES.
Does Dr. Shannon Bolt accept Medicare assignment?
Yes. Dr. Shannon Bolt accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shannon Bolt commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); New patient office or other outpatient visit (HCPCS 99203); Destruction of precancer skin growth, 1 growth (HCPCS 17000). Source: CMS Medicare Physician & Other Practitioners file.