LYDIA K BOLEN PA-C
NPI 1427033992
Physician Assistant in Grand Rapids, MI

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1900 WEALTHY ST SE STE 300, GRAND RAPIDS, MI 49506(616) 267-7293 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 22, 2023, Mar 4, 2021, Jan 19, 2018 (3 updates tracked since 2018).

About Lydia K Bolen Pa-c NPPES

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

LYDIA K BOLEN PA-C (NPI 1427033992) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601004004) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1427033992
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLYDIA K BOLENCredential: PA-C
Location Address1900 WEALTHY ST SE STE 300Grand Rapids, MI 49506-2969
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 7, 2005
Last NPPES UpdateMay 22, 20233 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
NPI 1427033992 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 · 5601004004
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.

1900 WEALTHY ST SE STE 300, Grand Rapids, MI 49506

Other Names 1

Former Name (1)Lydia K Cartwright Pa-c

Accepted 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

Lydia K Bolen Pa-c 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 ID8123021391
PECOS Enrollment IDI20060809000306
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 3

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

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230003
Location8333 Felch StZeeland, MI 49464 · Ottawa County
Emergency services Birthing friendly

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49506 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Physician Assistant
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Physical Medicine & Rehabilitation
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Nurse Practitioner (Gerontology)
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Physician Assistant (Surgical)
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Nurse Practitioner
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Anesthesiology (Pain Medicine)
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506

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 Lydia Bolen's NPI number?

The NPI number for Lydia Bolen is 1427033992. It was assigned to this individual provider in the NPPES registry on December 7, 2005. The provider is also known as Lydia K Cartwright Pa-C.

Where is Lydia Bolen located?

Lydia Bolen practices at 1900 Wealthy St SE Ste 300, Grand Rapids, MI 49506. The listed phone number is (616) 267-7293.

What is Lydia Bolen's specialty?

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

Is Lydia Bolen enrolled in Medicare?

Yes. Lydia Bolen 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 Lydia Bolen accept?

Health plans from McLaren Health Plan Community and Priority Health list Lydia Bolen 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 Lydia Bolen affiliated with any hospitals?

According to CMS data, Lydia Bolen is affiliated with Corewell Health Zeeland Hospital, Spectrum Health United Hospital and Spectrum Health.

When was this NPI record last updated?

The NPPES record for Lydia Bolen was last updated on May 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.