BLUE HILLS MEDICAL PLLC
NPI 1073038758
Nurse Practitioner - Psychiatric/Mental Health in Lowell, MI
About Blue Hills Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE HILLS MEDICAL PLLC (NPI 1073038758), doing business as White Mountain Wellness Clinic, is a healthcare organization registered as a psychiatric/mental health in Lowell, Michigan and active in the NPI registry since August 2017. The organization lists Holly Engelman, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Hills Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blue Hills Medical PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blue Hills Medical PLLC's NPI number?
The NPI number for Blue Hills Medical PLLC is 1073038758. It was assigned to this organization in the NPPES registry on August 3, 2017. The provider was formerly known as White Mountain Wellness Clinic.
Where is Blue Hills Medical PLLC located?
Blue Hills Medical PLLC is located at 12068 36th St SE, Lowell, MI 49331. The listed phone number is (928) 800-1228.
What is Blue Hills Medical PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Blue Hills Medical PLLC enrolled in Medicare?
Yes. Blue Hills Medical PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Hills Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Blue Hills Medical PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Blue Hills Medical PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Blue Hills Medical PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Blue Hills Medical PLLC was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Blue Hills Medical Pllc · NPI 1073038758
Psychiatric/Mental Health organization in Lowell, Michigan. Organization record, active in the CMS NPPES registry since August 3, 2017.
## Identity
- **NPI:** 1073038758 (Entity type: Organization)
- **Enumerated:** August 3, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** White Mountain Wellness Clinic (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Holly Engelman, CEO
## Practice location
- **Address:** 12068 36TH ST SE, Lowell, MI 49331-9509
- **Phone:** (928) 800-1228 · **Fax:** (928) 268-1068
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073038758) · Data from the CMS NPPES public registry.