BREAST HEALTH & WELLNESS CENTER PC
NPI 1710378989
Surgery in Grand Rapids, MI

Active since February 10, 2015CLIA 23D2092243 · Waiver
655 KENMOOR AVE SE STE 201, GRAND RAPIDS, MI 49546(616) 920-0825 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Breast Health & Wellness Center Pc NPPES

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

BREAST HEALTH & WELLNESS CENTER PC (NPI 1710378989) is a healthcare organization registered as a surgery in Grand Rapids, Michigan and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Colleen App, Owner, as its authorized official.

NPPES Registry Identity

NPI1710378989
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBREAST HEALTH & WELLNESS CENTER PC
Location Address655 KENMOOR AVE SE STE 201Grand Rapids, MI 49546-8604
Mailing Address655 Kenmoor Ave Se Ste 201Grand Rapids, MI 49546-8604 · (616) 920-0825 · Fax (616) 920-0830
Organization SubpartNo
Authorized OfficialColleen AppOwner · (616) 920-0825
Enumeration DateFebruary 10, 2015
Last NPPES UpdateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
NPI 1710378989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301070786
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

655 KENMOOR AVE SE STE 201, Grand Rapids, MI 49546

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2092243

Breast Health & Wellness Centr, P C, The · Grand Rapids, MI
Active · expires Mar 1, 2027
CLIA Number23D2092243
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorColleen Ac App
Laboratory Phone(616) 901-8735
Laboratory LocationBreast Health & Wellness Centr, P C, The655 Kenmoor Ave SE Suite 201, Grand Rapids, MI 49546
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physician Assistant
655 KENMOOR AVE SE STE 201
GRAND RAPIDS, MI 49546
Nurse Practitioner (Women's Health)
655 KENMOOR AVE SE STE 201
GRAND RAPIDS, MI 49546

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 Breast Health & Wellness Center PC's NPI number?

The NPI number for Breast Health & Wellness Center PC is 1710378989. It was assigned to this organization in the NPPES registry on February 10, 2015.

Where is Breast Health & Wellness Center PC located?

Breast Health & Wellness Center PC is located at 655 Kenmoor Ave SE Ste 201, Grand Rapids, MI 49546. The listed phone number is (616) 920-0825.

What is Breast Health & Wellness Center PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Breast Health & Wellness Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2092243) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Breast Health & Wellness Center PC 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 list Breast Health & Wellness Center PC 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 Breast Health & Wellness Center PC was last updated on December 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.