Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PAYTON ROCHEL BOLIN
NPI 1265364202
Case Manager/Care Coordinator in Grand Rapids, MI

Q: What is Payton Bolin's NPI number?

The NPI number for Payton Bolin is 1265364202. It was assigned to this individual provider in the NPPES registry on June 2, 2026. The provider is also known as Payton Klein.

Q: What is Payton Bolin's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Payton Bolin was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 02, 2026

790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909(616) 336-8830 Get Directions Write a Review

NPPES record added: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Payton Rochel Bolin NPPES

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

PAYTON ROCHEL BOLIN (NPI 1265364202) is an individual case manager/care coordinator provider in Grand Rapids, Michigan and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1265364202

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NamePAYTON ROCHEL BOLIN

Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918

Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830

Phone(616) 336-3909

Fax(616) 336-8830

Sole ProprietorYes

Enumeration DateJune 2, 2026

NPPES CertifiedJune 2, 2026

✔ NPI 1265364202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

790 FULLER AVE NE, Grand Rapids, MI 49503

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Other Names 1

Former Name (1)Payton Klein

Other Providers at the Same Location NPPES 20

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

DIANA DUARTE-MENENDEZ LMSW

Social Worker (Clinical)