NOELLE ABIGAIL BOHANNON PA-C
NPI 1841053550
Physician Assistant in Holland, MI

Active since February 05, 2024PECOS EnrolledAccepts Medicare Assignment
588 E LAKEWOOD BLVD, HOLLAND, MI 49424(616) 267-8860 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2025, May 6, 2024, Feb 6, 2024 (3 updates tracked since 2024).

About Noelle Abigail Bohannon Pa-c NPPES

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

NOELLE ABIGAIL BOHANNON PA-C (NPI 1841053550) is an individual physician assistant in Holland, Michigan, licensed in Michigan (5601012171) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1841053550
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNOELLE ABIGAIL BOHANNONCredential: PA-C
Location Address588 E LAKEWOOD BLVDHolland, MI 49424-2023
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 5, 2024
Last NPPES UpdateDecember 22, 20253 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
NPI 1841053550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601012171
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.
588 E LAKEWOOD BLVD, Holland, MI 49424

Other Names 1

Former Name (1)Noelle Abigail Bohannon Pa-c

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

Noelle Abigail Bohannon 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 ID4587000591
PECOS Enrollment IDI20240313001479
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 4

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 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.
57 services56 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.
21 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230003
Location8333 Felch StZeeland, MI 49464 · Ottawa County
Emergency services Birthing friendly

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 49424 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.

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.

Physician Assistant
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Family Medicine
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Obstetrics & Gynecology
588 E LAKEWOOD BLVD, 2ND FLOOR
HOLLAND, MI 49424
Physician Assistant
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Pediatrics
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Internal Medicine
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Pediatrics
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Internal Medicine (Cardiovascular Disease)
588 E LAKEWOOD BLVD
HOLLAND, MI 49424

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 Noelle Bohannon's NPI number?

The NPI number for Noelle Bohannon is 1841053550. It was assigned to this individual provider in the NPPES registry on February 5, 2024. The provider is also known as Noelle Abigail Bohannon Pa-C.

Where is Noelle Bohannon located?

Noelle Bohannon practices at 588 E Lakewood Blvd, Holland, MI 49424. The listed phone number is (616) 267-8860.

What is Noelle Bohannon's specialty?

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

Is Noelle Bohannon enrolled in Medicare?

Yes. Noelle Bohannon 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 Noelle Bohannon 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 Noelle Bohannon 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 Noelle Bohannon affiliated with any hospitals?

According to CMS data, Noelle Bohannon is affiliated with Corewell Health Zeeland Hospital and Spectrum Health.

When was this NPI record last updated?

The NPPES record for Noelle Bohannon was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.