1. Home
  2. Directory
  3. Michigan
  4. Okemos
  5. Family Medicine
  6. NPI Profile

GRAND RIVER FAMILY CARE, PC
NPI 1396301719
Family Medicine in Okemos, MI

Active since May 10, 2019
1881 W GRAND RIVER AVE, OKEMOS, MI 48864(517) 339-2116(517) 339-4620 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Grand River Family Care, Pc NPPES

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

GRAND RIVER FAMILY CARE, PC (NPI 1396301719) is a healthcare organization registered as a family medicine in Okemos, Michigan and active in the NPI registry since May 2019. The organization lists Quinn Bosworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1396301719
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAND RIVER FAMILY CARE, PC
Location Address1881 W GRAND RIVER AVEOkemos, MI 48864-1840
Mailing Address1881 W Grand River AveOkemos, MI 48864-1840 · (517) 339-2116 · Fax (517) 339-4620
Phone(517) 339-2116
Fax(517) 339-4620
Organization SubpartNo
Authorized OfficialQuinn BosworthOwner · (517) 339-2116
Enumeration DateMay 10, 2019
✔ NPI 1396301719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1881 W GRAND RIVER AVE, Okemos, MI 48864
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grand River Family Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Grand River Family Care, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Kyle Cook, NP
Nurse Practitioner
NPI 1831744457
1881 W GRAND RIVER AVE
Okemos, MI 48864
(517) 339-2100
✔ PECOSSame address
Quinn Bosworth, DO
Family Practice
NPI 1063440592
1881 W GRAND RIVER AVE
Okemos, MI 48864
(517) 339-2100
✔ PECOS✔ Accepts Medicare0.1 mi
Elysha Keener, DNP, FNP-C
Nurse Practitioner
NPI 1861076465
221 MICHIGAN ST NE STE 600
Grand Rapids, MI 49503
(616) 774-7035
✔ PECOS✔ Accepts Medicare66 mi
Emily Wilson, FNP
Nurse Practitioner
NPI 1710531686
221 MICHIGAN ST NE STE 600
Grand Rapids, MI 49503
(616) 774-7035
✔ PECOS✔ Accepts Medicare66 mi

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 Grand River Family Care, PC's NPI number?

The NPI number for Grand River Family Care, PC is 1396301719. It was assigned to this organization in the NPPES registry on May 10, 2019.

Where is Grand River Family Care, PC located?

Grand River Family Care, PC is located at 1881 W Grand River Ave, Okemos, MI 48864. The listed phone number is (517) 339-2116.

What is Grand River Family Care, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Grand River Family Care, PC enrolled in Medicare?

Yes. Grand River Family Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand River Family Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Grand River Family Care, PC. 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. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grand River Family Care, PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Grand River Family Care, PC 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 Grand River Family Care, PC was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.