JULIE C BLOSSOM-HARTLEY MD
NPI 1689194631
Family Medicine in Grand Rapids, MI

Q: What is Julie Blossom-hartley's NPI number?

The NPI number for Julie Blossom-hartley is 1689194631. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Q: What is Julie Blossom-hartley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment

300 LAFAYETTE AVE SE STE 4000, GRAND RAPIDS, MI 49503(616) 685-6922 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2023, Jun 16, 2018, Jun 21, 2017 (3 updates tracked since 2017).

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About Julie C Blossom-hartley Md NPPES

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

JULIE C BLOSSOM-HARTLEY MD (NPI 1689194631) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301509984) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2017).

NPPES Registry Identity

NPI1689194631

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJULIE C BLOSSOM-HARTLEYCredential: MD

Location Address300 LAFAYETTE AVE SE STE 4000Grand Rapids, MI 49503-4692

Mailing Address111 Brewster St, Fcc APawtucket, RI 02860 · (401) 729-2304 · Fax (401) 729-2541

Phone(616) 685-6922

Sole ProprietorYes

Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2017

Enumeration DateJune 21, 2017

Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration

NPPES CertifiedOctober 26, 2023

✔ NPI 1689194631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 4301509984✔ Licensed in RI · LP04116

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

300 LAFAYETTE AVE SE STE 4000, Grand Rapids, MI 49503

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Other Identifiers 2

Other4301509984MI · State Of Michigan Medical License

OtherLP04116RI · Rhode Island Medical License

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, Oscar Insurance Company and more.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

Julie C Blossom-hartley 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.

PECOS PAC ID5698006880

PECOS Enrollment IDI20231027003314

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services14 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.

16 services14 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230059

Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

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

$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 20

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

NOLAN E COALLIER MD

Family Medicine