DOLLY MARIE COULLARD NP-C
NPI 1245516152
Nurse Practitioner - Family in Brimley, MI

Q: What is Dolly Coullard's NPI number?

The NPI number for Dolly Coullard is 1245516152. It was assigned to this individual provider in the NPPES registry on October 25, 2011.

Q: What is Dolly Coullard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dolly Coullard was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 25, 2011PECOS Enrolled

12455 W LAKESHORE DR, BRIMLEY, MI 49715(906) 248-5527(906) 248-3866 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dolly Marie Coullard Np-c NPPES

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

DOLLY MARIE COULLARD NP-C (NPI 1245516152) is an individual family provider in Brimley, Michigan, licensed in Michigan (4704261006) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245516152

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDOLLY MARIE COULLARDCredential: NP-C

Location Address12455 W LAKESHORE DRBrimley, MI 49715-9403

Mailing Address6151 S Mackinac TrlSault Sainte Marie, MI 49783-8974 · (906) 322-6702

Phone(906) 248-5527

Fax(906) 248-3866

Sole ProprietorNo

Enumeration DateOctober 25, 2011

Last NPPES UpdateJanuary 10, 2025

NPPES CertifiedJanuary 10, 2025

✔ NPI 1245516152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704261006

12455 W LAKESHORE DR, Brimley, MI 49715

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Other Identifiers 1

Other4704261006MI · State Licensure

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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dolly Marie Coullard Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49715 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

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers23 claims23 services$18.49 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$6.49 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers21 claims21 services$102.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

DR. AUBRIE JOY ZUIDERVEEN DMD

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