MELISSA A BOLL CNM
NPI 1124080775
Midwife in Cottonwood Heights, UT
NPI Status: Active since April 06, 2006
Contact Information
6975 S UNION PARK CTR STE 600
COTTONWOOD HEIGHTS, UT
ZIP 84047
Phone: (888) 731-8994
Fax: (888) 732-8119
- Individual
- Female
- Midwife
- Accepts Insurance
- PECOS Enrolled
About MELISSA BOLL
This page provides the complete NPI Profile along with additional information for Melissa Boll, a provider established in Cottonwood Heights, Utah with a medical specialization in Midwife. The healthcare provider is registered in the NPI registry with number 1124080775 assigned on April 2006. The practitioner's primary taxonomy code is 176B00000X with license number 5713781-4402 (UT). The provider is registered as an individual and her NPI record was last updated March 2025.
- NPI
- 1124080775
- Provider Name
- MELISSA A BOLL CNM
- Other Name
- MELISSA A BORRACK CNM
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6975 S UNION PARK CTR STE 600 COTTONWOOD HEIGHTS, UT 84047
- Location Phone
- (888) 731-8994
- Location Fax
- (888) 732-8119
- Mailing Address
- 6975 S UNION PARK CTR COTTONWOOD HEIGHTS, UT 84047
- Mailing Phone
- (888) 731-8994
- Mailing Fax
- (888) 732-8119
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-06-2006
- Last Update Date
- 03-20-2025
- Code Navigator
Location Map
Secondary Locations
- 111 N Orange Ave Ste 800
Orlando, FL 32801
(888) 731-8994 - One Sun Plaza 100 Sun Ave Suite 650
Albuquerque, NM 87109
(888) 731-8994 - 195 Page Mill Rd
Palo Alto, CA 94306
(801) 731-8994 - 20 S 3rd St Ste 210
Columbus, OH 43215
(888) 731-8994
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Midwife
- Taxonomy Code
- 176B00000X
- Type
- Other Service Providers
- License No.
- 5713781-4402
- License State
- UT
- Taxonomy Description
- A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Signature Benchmark Silver 5900 Medical Deductible - HMO
- Signature Benchmark Silver Standardized Plan - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D5743 | MEDICAID (05) | UT |
Medicare Participation & PECOS Enrollment Status
Melissa Boll is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MELISSA A BOLL CNM
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 8 | 0 | 7 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 8 | 0 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 8 + 0 + 7 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1124080775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619658002 | CARECONNECTMD UTAH PC Organization | General Practice | 6975 S UNION PARK CTR STE 600 COTTONWOOD HEIGHTS, UT 84047 (888) 789-9585 |
| 1093273708 | ANNA O'HEARON LCMHC Individual | Counselor (Mental Health) | 6975 S UNION PARK CTR STE 600 COTTONWOOD HEIGHTS, UT 84047 (801) 915-7518 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124080775, enumerated in the NPI registry as an "individual" on April 06, 2006
The provider is located at 6975 S Union Park Ctr Ste 600 Cottonwood Heights, Ut 84047 and the phone number is (888) 731-8994
The provider's speciality is Midwife with taxonomy code 176B00000X
The provider might be accepting Accepts: Aetna CVS Health, Molina Healthcare, Select. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on April 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.