Individual provider Active NPI

Carrie Jean-Borowski Bollmann, FNP-C

  • Nurse Practitioner
  • Boyne City, MI
National Provider Identifier
1417935040
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704177269 Issued in MI
Practice address
1249 M-75 South
Boyne City, MI 49712
Phone
(231) 582-1515
Fax
(231) 582-2425
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704177269 MI Primary

Addresses

Primary practice location

1249 M-75 South
Boyne City, MI 49712

Mailing address

1249 M-75 South
Boyne City, MI 49712
Phone (231) 582-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000015 MI Practitioner - Nurse Practitioner 4789587692 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

1249 S M
Suite 75
Boyne City, MI 49712-9688
Phone (231) 582-1515

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group Nurse Practitioner CurrentSince Apr 24, 2025 Accepting new patients
McLaren Northern Michigan CurrentSince Jul 3, 2023 Accepting new patients
McLaren Northern Michigan CurrentSince Jul 3, 2023 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan CurrentSince Jan 4, 2021 Accepting new patients
McLaren Central Michigan CurrentSince Jan 4, 2021 Accepting new patients
McLaren Medical Group CurrentSince Apr 24, 2025 Accepting new patients
McLaren Medical Group Past Accepting new patients

Locations

1249 S M 75
Boyne City, MI 49712
Phone (231) 582-1515

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

116 W Mitchell St
Ste 1
Petoskey, MI 49770
Phone (231) 348-2828

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

1890 US Highway 131
Unit 4
Petoskey, MI 49770
Phone (231) 348-2828

116 W Mitchell St
Petoskey, MI 49770
Phone (231) 348-2828

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1417935040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 M-75 SOUTH",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "49712",
            "telephone_number": "231-582-1515",
            "fax_number": "231-582-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 M-75 SOUTH",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "49712",
            "telephone_number": "231-582-1515",
            "fax_number": "231-582-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLMANN",
        "first_name": "CARRIE",
        "middle_name": "JEAN-BOROWSKI",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704177269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyne City, MI

Sources for this page

Verify at the official NPI Registry.