Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ELIZABETH A BOESSENKOOL MD
NPI 1912950155
Family Medicine in Wyoming, MI

Active since May 18, 2006
950 36TH ST SW, WYOMING, MI 49509(616) 534-1640(616) 534-4370 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elizabeth A Boessenkool Md NPPES

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

DR. ELIZABETH A BOESSENKOOL MD (NPI 1912950155) is an individual family medicine provider in Wyoming, Michigan, licensed in Michigan (4301039842) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1912950155
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELIZABETH A BOESSENKOOLCredential: MD
Location Address950 36TH ST SWWyoming, MI 49509-3587
Mailing Address950 36th St SwWyoming, MI 49509-3587 · (616) 534-1640 · Fax (616) 534-4370
Fax(616) 534-4370
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1912950155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301039842
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.
950 36TH ST SW, Wyoming, MI 49509

Other Identifiers 1

Medicaid1921891MI

Other Providers at the Same Location NPPES 12

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

Peer Specialist
950 36TH ST SW
WYOMING, MI 49509
Clinic/Center (Federally Qualified Health Center (FQHC))
950 36TH ST SW
WYOMING, MI 49509
Social Worker (Clinical)
950 36TH ST SW
WYOMING, MI 49509
Family Medicine
950 36TH ST SW
WYOMING, MI 49509
Nurse Practitioner (Family)
950 36TH ST SW
WYOMING, MI 49509
Family Medicine
950 36TH ST SW
WYOMING, MI 49509
Social Worker (Clinical)
950 36TH ST SW
WYOMING, MI 49509
Social Worker (Clinical)
950 36TH ST SW
WYOMING, MI 49509

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 Elizabeth Boessenkool's NPI number?

The NPI number for Elizabeth Boessenkool is 1912950155. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Elizabeth Boessenkool located?

Elizabeth Boessenkool practices at 950 36th St SW, Wyoming, MI 49509. The listed phone number is (616) 534-1640.

What is Elizabeth Boessenkool's specialty?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Boessenkool was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.