Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BOLERJACK, LM, CPM
DeactivatedKELLY BOLERJACK, LM, CPM is a Midwife healthcare provider located in AUSTIN, Texas. NPI 1306306154 is deactivated in the NPPES registry. Verify at CMS.
Midwife · AUSTIN, TX
This NPI has been deactivated.
The record was deactivated on December 5, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1306306154
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2019 (6.7123287671233 yrs)
- Last Updated
- Dec 12, 2025
- Deactivated
- Dec 5, 2025
- License
-
99623 (TX)
Practice Information
- Address
-
2500 W WILLIAM CANNON DR STE 503AUSTIN, TX, 787455286Browse TX providers · Browse ZIP 78745
- Phone
- 5122438066
- Primary Specialty
-
Midwife
176B00000X
Other Midwife Providers in AUSTIN, TX
| Name | Credential | NPI |
|---|---|---|
| LAURA S FREMGEN | CPM, LM | 1245393164 |
| MS. KIMBERLIE FAITH BELTZ | L.M., C.P.M. | 1316080955 |
| NATALIE JANE LAKE | C.P.M., L.M. | 1104960889 |
| VICKI MEINHARDT | CPM | 1356468581 |
| MS. MARIMIKEL POTTER | RN-BSN, LM, CPM | 1831301407 |
| MS. DEBRA ELAINE KAMP | CPM, LM | 1891907242 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.