Amy G Bolmer, D.O.
Individual provider Active NPI Medical Oncology Physician · Saint Ignace, MI
NPI 1366494270 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1366494270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- License
- 5101013135 (MI)
- Practice address
- 1140 N State St
Saint Ignace, MI 49781-1048 - Phone
- (906) 643-0451
- Fax
- (906) 643-0461
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Medical Oncology
- Education
- Michigan State University College of Osteopathic Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mackinac Straits Health System Inc
Practice addresses (Care Compare)
1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-8585
Hospital & facility affiliations
- Mackinac Straits Hospital and Health Center
- McLaren Northern Michigan
- Chippewa County War Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090511000167 | MI | Practitioner - Medical Oncology |
3072661594 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mackinac Straits Health System Inc | Current |
Accepting new patients | |
| Mackinac Straits Health System Inc | Current |
Accepting new patients | |
| Mackinac Straits Health System Inc | Current | Accepting new patients | |
| Mackinac Straits Health System Inc | Past | Accepting new patients | |
| Mackinac Straits Health System Inc | Past | Accepting new patients |
Locations
920 S Huron St
Cheboygan, MI 49721
Phone (231) 597-8192
14540 N Mackinaw Hwy
Mackinaw City, MI 49701
Phone (231) 436-9900
1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466
Interoperability endpoints
- amybolmer@mshs.allscriptsdirect.net
- abolmer125634@mymichiganhealth.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 5101013135 | MI | Yes |
Addresses
Primary practice location
1140 N State St
Saint Ignace, MI 49781-1048
Mailing address
4602 Dept
Carol Stream, IL 60122-0021
Phone (906) 225-3630
Other practice location 1
510 Ashmun St
Sault Sainte Marie, MI 49783-1964
Phone (906) 632-6013
Other practice location 2
14540 N Mackinaw Hwy
Mackinaw City, MI 49701-9507
Phone (231) 597-9740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00122957 | Other | MI | RAILROAD MEDICARE |
| 1009476 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 200000001266 | Other | MI | PHYSICIANS HEALTH PLAN |
| 36-70041 | Other | MI | PHP FAMILY CARE |
| 36-00041 | Other | MI | PHP |
| 383267121 | Other | MI | PPOM |
| 7541326 | Other | MI | AETNA |
| 1153310564 | Other | MI | BCBS/BCN |
| 383267121 | Other | MI | SPHN |
| 383267121 | Other | MI | PHCS |
| 4530050 | Medicaid | MI |
Other providers in Saint Ignace, MI
- Elizabeth Anne Becker
- Rebecca Rae Becker
- Tara Belonga
- Jeffrey A Bender
- Darrin J Benzing
- Mark Boshaw
- Zachary Adrian Brian
- Bobbiejo M Briggs
- Loni Brown
- Sara Jane Brown
All providers in Saint Ignace, MI · Medical Oncology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.