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MR. EVAN REID VANDENBOSCH PA-C
NPI 1710342134
Physician Assistant in Livonia, MI

Active since December 30, 2015PECOS EnrolledAccepts Medicare Assignment
36622 5 MILE RD, SUITE 101, LIVONIA, MI 48154(734) 542-0200 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, Oct 27, 2016, Dec 30, 2015 (3 updates tracked since 2015).

About Mr. Evan Reid Vandenbosch Pa-c NPPES

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

MR. EVAN REID VANDENBOSCH PA-C (NPI 1710342134) is an individual physician assistant in Livonia, Michigan, licensed in Michigan (5601007644) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and maintains a secondary practice location in Sterling Heights.

NPPES Registry Identity

NPI1710342134
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. EVAN REID VANDENBOSCHCredential: PA-C
Location Address36622 5 MILE RD, SUITE 101Livonia, MI 48154-1900
Mailing Address36622 5 Mile Rd, Suite 101Livonia, MI 48154-1900 · (734) 542-0200
Phone(734) 542-0200
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 30, 2015
Last NPPES UpdateJune 12, 20243 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1710342134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601007644
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 5601007644 (MI)
36622 5 MILE RD, Livonia, MI 48154
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Secondary Practice Location 1

Location 135735 Mound Rd Ste 100Sterling Heights, MI 48310-4728 · Phone (586) 261-1960

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mr. Evan Reid Vandenbosch Pa-c 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 ID1254634652
PECOS Enrollment IDI20160119001357
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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
44 services37 patients
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.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48154 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Evan Vandenbosch's NPI number?

The NPI number for Evan Vandenbosch is 1710342134. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Where is Evan Vandenbosch located?

Evan Vandenbosch practices at 36622 5 Mile Rd Suite 101, Livonia, MI 48154. The listed phone number is (734) 542-0200.

What is Evan Vandenbosch's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Evan Vandenbosch enrolled in Medicare?

Yes. Evan Vandenbosch 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 Evan Vandenbosch 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 Evan Vandenbosch 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 Evan Vandenbosch affiliated with any hospitals?

According to CMS data, Evan Vandenbosch is affiliated with St Joe Mercy Hospital System Livonia.

When was this NPI record last updated?

The NPPES record for Evan Vandenbosch was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.