Melissa Mae Bossenberger

Individual provider Active NPI Case Manager/Care Coordinator · Kingsford, MI

NPI 1346977402 · NPPES record last updated Jul 22, 2026

Key facts

NPI
1346977402
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
6803087287 (MI)
Practice address
715 Pyle Dr
Kingsford, MI 49802-4456
Phone
(906) 774-0522
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 6803087287 MI Yes

Addresses

Primary practice location

715 Pyle Dr
Kingsford, MI 49802-4456

Mailing address

715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 774-0522

Other providers in Kingsford, MI

All providers in Kingsford, MI · Case Manager/Care Coordinator in Michigan

Sources for this page

Verify at the official NPI Registry.