MR. RYAN MABE BOLT PMHNP-BC, FNP-C
NPI 1639679822
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

NPI Status: Active since February 14, 2018

Contact Information

10620 TREENA ST STE 230
SAN DIEGO, CA
ZIP 92131
Phone: (858) 609-9763
Fax: (504) 290-1145

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  • Individual
  • Male
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • PECOS Enrolled

About RYAN BOLT

This page provides the complete NPI Profile along with additional information for Ryan Bolt, a provider established in San Diego, California with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1639679822 assigned on February 2018. The practitioner's primary taxonomy code is 363LP0808X with license number 95008584 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1639679822
Provider Name
MR. RYAN MABE BOLT PMHNP-BC, FNP-C
Gender
Male
Entity Type
Individual
Location Address
10620 TREENA ST STE 230 SAN DIEGO, CA 92131
Location Phone
(858) 609-9763
Location Fax
(504) 290-1145
Mailing Address
10620 TREENA ST STE 230 SAN DIEGO, CA 92131
Mailing Phone
(208) 850-6422
Is Sole Proprietor?
No
Enumeration Date
02-14-2018
Last Update Date
11-02-2023
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A nurse practitioner (NP) like Ryan Bolt is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
95008584
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

95008584 (CA)

Medicare Participation & PECOS Enrollment Status

Ryan Bolt 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, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

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): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92131 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.87
  • Minimum New Patient Price $62.1
  • Maximum New Patient Price $184.71
  • Average New Patient Copayment $23.71
  • Minimum New Patient Copayment $15.52
  • Maximum New Patient Copayment $46.17

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $108.42
  • Minimum Established Patient Price $20.62
  • Maximum Established Patient Price $151.42
  • Average Established Patient Copayment $27.1
  • Minimum Established Patient Copayment $5.15
  • Maximum Established Patient Copayment $37.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MR. RYAN MABE BOLT PMHNP-BC, FNP-C

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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.
1639679822
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691271884
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 7 + 1 + 8 + 8 + 4 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1639679822 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699262287MRS. KORI JESSICA SMYTH
Individual
Nutritionist (Nutrition, Education)10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(619) 793-2010
1902376379MRS. NORA SILBERSTEIN
Individual
Counselor10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(619) 793-2010
1821568288MISS AYA MORIHANA
Individual
Counselor10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(619) 793-2003
1255801627MRS. DEBRA KIRKWOOD
Individual
Counselor10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(619) 793-2010
1619436417 CHRISTINE P BURKE
Individual
Nutritionist (Nutrition, Education)10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(760) 575-4277
1205395092MS. SHAMAL RAYAMMARAKKAR VEETIL THAJUDHEEN R.V.T, BDS, MPH
Individual
Nutritionist (Nutrition, Education)10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(619) 743-0947
1932696705MRS. BARBARA CORINNE GESELL
Individual
Nutritionist (Nutrition, Education)10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(619) 793-2011
1932696796MRS. NADIN BENREY
Individual
Nutritionist (Nutrition, Education)10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(858) 395-8187
1043732829 DANIJELA MUDRI-NICIN
Individual
Marriage & Family Therapist10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(858) 280-5712
1285253732MERCY HEALTHCARE SERVICES, LLC
Organization
Home Health10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(800) 627-1678
1124639513 JENNIFER ZWOLINSKI PHD
Individual
Psychologist (Clinical)10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(858) 218-0401
1508472275SD HOSPICE, INC.
Organization
Hospice Care, Community Based10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(619) 430-2762
1194453639HONORED HEARTS HOME CARE, LLC
Organization
In Home Supportive Care10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(619) 738-3551
1295232114MRS. MARLAYNA DANIELLE BOLLINGER
Individual
Counselor10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(619) 793-2010
1609422286ASHLEE LAUREN BOLT NURSING INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(858) 255-0878
1669816492 ASHLEE BOLT PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)10620 TREENA ST STE 230
SAN DIEGO, CA 92131
(858) 255-0878

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639679822, enumerated in the NPI registry as an "individual" on February 14, 2018

The provider is located at 10620 Treena St Ste 230 San Diego, Ca 92131 and the phone number is (858) 609-9763

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

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, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $94.87 with an average copayment of $23.71 for new patient appointments. Established patients should expect a typical charge of $108.42 and an average copayment of 27.1. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on February 14, 2018. 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.