JILL BULTJE MD
NPI 1568414241
Family Medicine in Grand Rapids, MI
About Jill Bultje Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL BULTJE MD (NPI 1568414241) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301074566) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Michigan State University College Of Human Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 11
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jill Bultje Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Jill Bultje reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIMercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
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 Jill Bultje's NPI number?
The NPI number for Jill Bultje is 1568414241. It was assigned to this individual provider in the NPPES registry on May 17, 2006.
Where is Jill Bultje located?
Jill Bultje practices at 1471 E Beltline Ave NE Suite 201, Grand Rapids, MI 49525. The listed phone number is (616) 685-8620.
What is Jill Bultje's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jill Bultje enrolled in Medicare?
Yes. Jill Bultje 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.
Which organization bills Medicare for Jill Bultje's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jill Bultje reassigns Medicare benefits to Advantage Health/Saint Mary's Medical Group (Grand Rapids, 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 Jill Bultje's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jill Bultje accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jill Bultje 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 Jill Bultje affiliated with any hospitals?
According to CMS data, Jill Bultje is affiliated with Spectrum Health and Mercy Health Saint Mary's.
When was this NPI record last updated?
The NPPES record for Jill Bultje was last updated on June 26, 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.
# Jill Bultje, MD · NPI 1568414241
Family Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1568414241 (Entity type: Individual)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301074566 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1471 E BELTLINE AVE NE, SUITE 201, Grand Rapids, MI 49525-4548
- **Phone:** (616) 685-8620 · **Fax:** (676) 447-7674
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advantage Health/Saint Mary's Medical Group (NPI 1376862151, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine, class of 1999
## Record status
- **NPPES last updated:** June 26, 2009
- **Other identifiers:** Medicaid 4440310 (MI); Medicaid 4440300 (MI); Medicare ID-Type Unspecified M69390204 (MI); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1568414241) · Data from the CMS NPPES public registry.