DR. MICHAEL SHAWN BOLAN D.O.
NPI 1659488807
Family Medicine in Kentwood, MI
About Dr. Michael Shawn Bolan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL SHAWN BOLAN D.O. (NPI 1659488807) is an individual family medicine provider in Kentwood, Michigan, licensed in Michigan (5101009303) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Michael Shawn Bolan D.o. 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 Reassignments
2Medicare enrollment records show Michael Bolan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wittenberg, WI 54499
- Reassigned Medicare billing, Wisconsin enrollment
- 415 clinicians in this Medicare group
Wittenberg, WI 54499
- Reassigned Medicare billing, Wisconsin enrollment
- 633 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Michael Bolan's NPI number?
The NPI number for Michael Bolan is 1659488807. It was assigned to this individual provider in the NPPES registry on August 24, 2006.
Where is Michael Bolan located?
Michael Bolan practices at 2272 32nd St SE, Kentwood, MI 49508. The listed phone number is (616) 247-0399.
What is Michael Bolan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michael Bolan enrolled in Medicare?
Yes. Michael Bolan 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 organizations bill Medicare for Michael Bolan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bolan reassigns Medicare benefits to 2 organizations: Aspirus Medical Group, Inc. (Wittenberg, WI) and Aspirus Wausau Hospital Inc (Wittenberg, WI). Each 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 Michael Bolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Bolan accept?
Health plans from Aspirus Health Plan list Michael Bolan 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 Michael Bolan was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Michael Shawn Bolan, D.O. · NPI 1659488807
Family Medicine physician in Kentwood, Michigan. Individual provider, active in the CMS NPPES registry since August 24, 2006.
## Identity
- **NPI:** 1659488807 (Entity type: Individual)
- **Enumerated:** August 24, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 5101009303 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2272 32ND ST SE, Kentwood, MI 49508-1509
- **Phone:** (616) 247-0399 · **Fax:** (616) 247-0499
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Aspirus Medical Group, Inc. (NPI 1992950133, Wittenberg, WI); Aspirus Wausau Hospital Inc (NPI 1467782821, Wittenberg, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 1985
## Record status
- **NPPES last updated:** August 14, 2014
- **Other identifiers:** Medicare UPIN A76530
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Source: [NPI Profile](https://npiprofile.com/npi/1659488807) · Data from the CMS NPPES public registry.