Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE M. BOSSENBROEK M.D.
NPI 1619909611
Dermatology - Dermatopathology in Grand Rapids, MI

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
90.25/100
CMS Quality Rating
6735 CASCADE RD SE STE 300, GRAND RAPIDS, MI 49546(269) 321-7546(269) 321-1705 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Jul 25, 2026 (2 updates tracked since 2026).

About Nicole M. Bossenbroek M.d. NPPES

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

NICOLE M. BOSSENBROEK M.D. (NPI 1619909611) is an individual dermatopathology provider in Grand Rapids, Michigan, licensed in Michigan (4301079716) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Medical College Of Wisconsin (2002).

NPPES Registry Identity

NPI1619909611
Entity TypeIndividualFemale
Primary Taxonomy207ND0900X
Provider Legal NameNICOLE M. BOSSENBROEKCredential: M.D.
Location Address6735 CASCADE RD SE STE 300Grand Rapids, MI 49546-8705
Mailing Address6735 Cascade Rd Se Ste 300Grand Rapids, MI 49546-8705 · (269) 321-7546 · Fax (269) 321-1705
Fax(269) 321-1705
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2002
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1619909611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License Licensed in MI · 4301079716
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
6735 CASCADE RD SE STE 300, Grand Rapids, MI 49546

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

Nicole M. Bossenbroek M.d. 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 ID1254344567
PECOS Enrollment IDI20070323000009
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.

Areas of Expertise CMS Part B claims 13

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
300 services176 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
156 services28 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
51 services46 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
48 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services34 patients

Hospital Affiliations CMS Care Compare

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

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 49546 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.

90.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.64
Improvement Activities40
Cost69.3

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 Nicole Bossenbroek's NPI number?

The NPI number for Nicole Bossenbroek is 1619909611. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Nicole Bossenbroek located?

Nicole Bossenbroek practices at 6735 Cascade Rd SE Ste 300, Grand Rapids, MI 49546. The listed phone number is (269) 321-7546.

What is Nicole Bossenbroek's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Nicole Bossenbroek enrolled in Medicare?

Yes. Nicole Bossenbroek 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 Nicole Bossenbroek 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 1 other insurer list Nicole Bossenbroek 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 Nicole Bossenbroek affiliated with any hospitals?

According to CMS data, Nicole Bossenbroek is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Nicole Bossenbroek was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.