ELISE M BONCHER DDS
NPI 1457504151
Dentist - General Practice in Grand Rapids, MI

Active since October 28, 2008PECOS Enrolled
550 CHERRY ST SE, CHERRY STREET HEALTH SERVICES - DENTAL, GRAND RAPIDS, MI 49503(616) 235-7289 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elise M Boncher Dds NPPES

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

ELISE M BONCHER DDS (NPI 1457504151) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (2901019968) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457504151
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameELISE M BONCHERCredential: DDS
Location Address550 CHERRY ST SE, CHERRY STREET HEALTH SERVICES - DENTALGrand Rapids, MI 49503-4748
Mailing Address550 Cherry St Se, Cherry Street Health Services - DentalGrand Rapids, MI 49503-4748 · (616) 235-7289
Sole ProprietorNo
Enumeration DateOctober 28, 2008
Last NPPES UpdateJune 8, 2009
NPI 1457504151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MI · 2901019968 Licensed in SC · 4539
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
550 CHERRY ST SE, Grand Rapids, MI 49503

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 (PECOS)

Elise M Boncher Dds 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 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
$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.

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Dentist (General Practice)
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Dental Hygienist
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Dentist
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Dentist (General Practice)
550 CHERRY ST SE
GRAND RAPIDS, MI 49503

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 Elise Boncher's NPI number?

The NPI number for Elise Boncher is 1457504151. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Elise Boncher located?

Elise Boncher practices at 550 Cherry St SE Cherry Street Health Services - Dental, Grand Rapids, MI 49503. The listed phone number is (616) 235-7289.

What is Elise Boncher's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Elise Boncher enrolled in Medicare?

Yes. Elise Boncher is registered in the Medicare PECOS enrollment system.

What insurance does Elise Boncher accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 12 other insurers list Elise Boncher 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 Elise Boncher was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.