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ANNALISE MARIE BORELLIS MD
NPI 1386349934
Pediatrics in Grand Rapids, MI

Active since April 03, 2023PECOS Enrolled
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-8810 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Mar 6, 2026, Mar 28, 2025 and 2 more (5 updates tracked since 2023).

About Annalise Marie Borellis Md NPPES

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

ANNALISE MARIE BORELLIS MD (NPI 1386349934) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4351051084) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2023).

NPPES Registry Identity

NPI1386349934
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANNALISE MARIE BORELLISCredential: MD
Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 391-8810
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2023
Enumeration DateApril 3, 2023
Last NPPES UpdateAugust 3, 20265 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1386349934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4351051084
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
275 MICHIGAN ST NE, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annalise Marie Borellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668830563
PECOS Enrollment IDI20260624000805
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Annalise Borellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
0.2 mi
Internal Medicine
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1689499667 (616) 486-6790
Spectrum Health Hospitals
0.2 mi
Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group
NPI 1558407189 (616) 774-7377

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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.

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.

PHILLIP RICHTER PARAS M.D.
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
MR. ETHAN J LACOURT PA-C
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
CAROLINE BUCKLEY MD
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
DR. ABEBA M BERHANE MD
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
MAKAYLA DENAE OTTEMAN PA-C
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
HIEN LUU PSYD
Clinical Neuropsychologist
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7401
HOPE ANN VIVIAN NP
Nurse Practitioner
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-2802
LAURA CLAIRE GOODWIN AGPCNP-BC
Nurse Practitioner (Gerontology)
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900

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 Annalise Borellis's NPI number?

The NPI number for Annalise Borellis is 1386349934. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Annalise Borellis located?

Annalise Borellis practices at 275 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-8810.

What is Annalise Borellis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Annalise Borellis enrolled in Medicare?

Yes. Annalise Borellis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Annalise Borellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annalise Borellis reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Spectrum Health Hospitals (Grand Rapids, MI). Each 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 Annalise Borellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Annalise Borellis accept?

Health plans from Priority Health list Annalise Borellis 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 Annalise Borellis was last updated on August 3, 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.