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LAUREN BOS
NPI 1104471986
Physician Assistant in Holland, MI

Active since August 07, 2019PECOS EnrolledAccepts Medicare Assignment
370 N 120TH AVE STE 20, HOLLAND, MI 49424(616) 396-5855(616) 396-5720 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2019, Oct 16, 2019, Aug 20, 2019 and 1 more (4 updates tracked since 2019).

About Lauren Bos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN BOS (NPI 1104471986) is an individual physician assistant in Holland, Michigan, licensed in Michigan (5601009427) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104471986
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN BOS
Location Address370 N 120TH AVE STE 20Holland, MI 49424-2196
Mailing Address75 Knollwood PkwyHolland, MI 49423-9284
Phone(616) 396-5855
Fax(616) 396-5720
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 7, 2019
Last NPPES UpdateDecember 10, 20194 updates tracked since enumeration
✔ NPI 1104471986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601009427
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
370 N 120TH AVE STE 20, Holland, MI 49424
Open in Google Maps ↗

Other Names 1

Former Name (1)Lauren Marie Deshaw

Secondary Practice Locations 2

Location 11883 E Laketon AveMuskegon, MI 49442-6123 · Phone (231) 767-3030 · Fax (231) 767-9980
Location 22125 168th AveGrand Haven, MI 49417-9396 · Phone (616) 935-3851 · Fax (616) 935-3870

Other Identifiers 1

Medicaid1275579765MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Bos is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082049671
PECOS Enrollment IDI20200108000647
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MITCHELL JOHN FOGAL PA-C
Physician Assistant
370 N 120TH AVE STE 20
HOLLAND, MI 49424
Ottawa County (616) 396-5855
DR. THEODORE ANTHONY KOSTIUK IV D.O.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
370 N 120TH AVE STE 20
HOLLAND, MI 49424
Ottawa County (616) 396-5855

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 Lauren Bos's NPI number?

The NPI number for Lauren Bos is 1104471986. It was assigned to this individual provider in the NPPES registry on August 7, 2019. The provider is also known as Lauren Marie Deshaw.

Where is Lauren Bos located?

Lauren Bos practices at 370 N 120th Ave Ste 20, Holland, MI 49424. The listed phone number is (616) 396-5855.

What is Lauren Bos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lauren Bos enrolled in Medicare?

Yes. Lauren Bos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lauren Bos accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Lauren Bos 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.

Is Lauren Bos affiliated with any hospitals?

According to CMS data, Lauren Bos is affiliated with Holland Community Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Bos was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.