1. Home
  2. Directory
  3. Michigan
  4. Caledonia
  5. Pediatrics
  6. NPI Profile

LAURA S BOUCH D.O.
NPI 1487617304
Pediatrics in Caledonia, MI

Active since April 11, 2006PECOS Enrolled
8941 N RODGERS CT SE, CALEDONIA, MI 49316(616) 252-5300(616) 252-5390 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2018, Dec 5, 2017, Feb 17, 2017 (3 updates tracked since 2017).

About Laura S Bouch D.o. NPPES

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

LAURA S BOUCH D.O. (NPI 1487617304) is an individual pediatrics provider in Caledonia, Michigan, licensed in Michigan (5101015239) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487617304
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLAURA S BOUCHCredential: D.O.
Location Address8941 N RODGERS CT SECaledonia, MI 49316-8013
Mailing Address5900 Byron Center Ave Sw, Attn: Medical AdministrationWyoming, MI 49519-9606 · (616) 252-5300 · Fax (616) 252-5390
Phone(616) 252-5300
Fax(616) 252-5390
Sole ProprietorNo
Enumeration DateApril 11, 2006
Last NPPES UpdateOctober 1, 20183 updates tracked since enumeration
✔ NPI 1487617304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 5101015239
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.
8941 N RODGERS CT SE, Caledonia, MI 49316
Open in Google Maps ↗

Other Identifiers 1

Medicaid1487617304MI

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, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura S Bouch D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Laura Bouch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metropolitan Hospital
9.7 mi
Family Medicine
781 36TH ST SE
Wyoming, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
NPI 1114947538 (616) 252-4100

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 49316 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 15

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

JULIE STINTON
Nurse Practitioner
8941 N RODGERS CT SE
CALEDONIA, MI 49316
Kent County (616) 252-5300
ERIC SHANKIN
Internal Medicine
8941 N RODGERS CT SE
CALEDONIA, MI 49316
Kent County (616) 252-5300
TERRI ROSEL NP
Nurse Practitioner
8941 N RODGERS CT SE
CALEDONIA, MI 49316
Kent County (616) 252-5300
METRO WEEKEND CARE SERVICES, LLC
Clinic/Center (Urgent Care)
8941 N RODGERS CT SE
CALEDONIA, MI 49316
Kent County (616) 252-5300
ARYN JOHNSON DO
Family Medicine (Sports Medicine)
8941 N RODGERS CT SE
CALEDONIA, MI 49316
Kent County (616) 252-5300
TRACY JENSEN
Family Medicine
8941 N RODGERS CT SE
CALEDONIA, MI 49316
Kent County (517) 364-5710
VALERIE KLOOSTERMAN PAC
Physician Assistant
8941 N RODGERS CT SE
CALEDONIA, MI 49316
Kent County (616) 252-5300
JOHN C WOODWORTH DO
Family Medicine
8941 N RODGERS CT SE
CALEDONIA, MI 49316
Kent County (616) 252-5300

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 Laura Bouch's NPI number?

The NPI number for Laura Bouch is 1487617304. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Laura Bouch located?

Laura Bouch practices at 8941 N Rodgers Ct SE, Caledonia, MI 49316. The listed phone number is (616) 252-5300.

What is Laura Bouch's specialty?

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

Is Laura Bouch enrolled in Medicare?

Yes. Laura Bouch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laura Bouch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Bouch reassigns Medicare benefits to Metropolitan Hospital (Wyoming, MI). The 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 Laura Bouch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Bouch accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Laura Bouch 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 Laura Bouch was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.