Matthew Dane Bolton
CNP | Nurse Practitioner | 11+ years Exp
908 W Pine St, Hattiesburg
Mississippi, 39401-4262
601-268-5850
Accepts Medicare Nurse Anesthetist in Hattiesburg, Mississippi.Matthew Dane Bolton is a Hattiesburg, Mississippi based nurse practitioner with 11 years of experience in . He completed his graduation in 2014. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Matthew Dane Bolton is R885021 in Mississippi. His current practice location is 908 W Pine St, Hattiesburg. Patients can reach him at 601-268-5850 or can fax him at 601-544-3545. Matthew Dane Bolton is CNP and his NPI number (Unique professional ID assigned by NPPES) is 1891163598.
Matthew Dane Bolton has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Matthew Dane Bolton speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Matthew Dane Bolton |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | CNP |
| Experience: | 11+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2014 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 908 W Pine St, Hattiesburg, Mississippi, 39401-4262 |
| Phone: | 601-268-5850 |
| Fax: | 601-544-3545 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3678882156 |
| Enrollment ID: | I20151023000603 |
| NPI Number: | 1891163598 |
| NPI Enumeration Date: | 11 Sep, 2015 |
| NPI Last Update On: | 19 Jul, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Dane Bolton are as mentioned below.
| License Number | Specialization | State | Status | |
| R885021 | | Mississippi | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Matthew Dane Bolton is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Hattiesburg Clinic, Pa (5193706794) | 445 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Matthew Dane Bolton such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00880352 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Matthew Dane Bolton 415 S 28th Ave, Hattiesburg, Mississippi |
| Zip: | 39401-7246 |
| Phone Number: | 601-544-1261 |
| Fax Number: | 601-579-5240 |
Patients can reach Matthew Dane Bolton at
908 W Pine St, Hattiesburg, Mississippi or can
call to book an appointment on 601-268-5850.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.