Individual provider Active NPI

Robert Mark Boyd, PHYSICIAN ASSISATANT

  • Physician Assistant
  • Battle Creek, MI
National Provider Identifier
1427148634
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011632 Issued in MI
Practice address
5350 Beckley Rd Ste B
Battle Creek, MI 49015-4178
Phone
(269) 781-4271
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 677 AK
Physician Assistant 363A00000X PA16861 CA
Physician Assistant 363A00000X 3262-23 WI
Physician Assistant 363A00000X 5601011632 MI Primary

Addresses

Primary practice location

5350 Beckley Rd Ste B
Battle Creek, MI 49015-4178

Mailing address

5352 Beckley Rd Ste B
Battle Creek, MI 49015-4155
Phone (269) 558-0714

Other practice location 1

302 N Monroe St Ste B
Albion, MI 49224-1765
Phone (517) 654-1020

Other practice location 2

1222 E Woodland Ave
Barron, WI 54812-1765
Phone (715) 838-5222

Other practice location 3

3085 Meadowlark Ln Ste 20
Altoona, WI 54720-2656
Phone (715) 717-3350

Other practice location 4

46900 Ocean Dr
Gualala, CA 95445-8353
Phone (707) 884-9476 ext. 107

Other practice location 5

1174 W Michigan Ave Ste B
Marshall, MI 49068-1625
Phone (269) 789-4390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140123001181 WI Practitioner - Physician Assistant 0547295461 Reassigns benefits to 1 organization
I20230516002386 MI Practitioner - Physician Assistant 0547295461 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

1131 M 32
Alpena, MI 49707-8222
Phone (989) 250-1925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
677AKMDMental Health Counselor
3262-23WIMDPhysician Assistant
3262WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Aug 1, 2023 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince May 5, 2023 Accepting new patients
Cep America LLC CurrentSince Aug 1, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Ella E M Brown Charitable Circle Physician Assistant CurrentSince May 5, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Mar 31, 2022 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Mar 31, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Past Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients
Bristol Bay Borough Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients
Camai Community Health Center, Inc. PastSince Sep 6, 2020 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

302 N Monroe St
Ste B
Albion, MI 49224
Phone (517) 654-1020

5352 Beckley Rd
Ste B
Battle Creek, MI 49015
Phone (269) 558-0714

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

1174 W Michigan Ave
Ste B
Marshall, MI 49068
Phone (269) 789-4390

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Interoperability endpoints

  • Direct secure messaging: robert.boyd@cumberland-directmessage.com
  • FHIR API: https://api.platform.athenahealth.com/20726/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robert.boyd@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1427148634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 BECKLEY RD STE B",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154155",
            "telephone_number": "269-558-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 BECKLEY RD STE B",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154178",
            "telephone_number": "269-781-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 N Monroe St Ste B",
            "address_purpose": "LOCATION",
            "city": "Albion",
            "state": "MI",
            "postal_code": "492241765",
            "country_code": "US",
            "telephone_number": "517-654-1020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1222 E Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Barron",
            "state": "WI",
            "postal_code": "548121765",
            "country_code": "US",
            "telephone_number": "715-838-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3085 Meadowlark Ln Ste 20",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "WI",
            "postal_code": "547202656",
            "country_code": "US",
            "telephone_number": "715-717-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46900 Ocean Dr",
            "address_purpose": "LOCATION",
            "city": "Gualala",
            "state": "CA",
            "postal_code": "954458353",
            "country_code": "US",
            "telephone_number": "707-884-9476 x107",
            "fax_number": "707-884-9728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1174 W Michigan Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MI",
            "postal_code": "490681625",
            "country_code": "US",
            "telephone_number": "269-789-4390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISATANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "677",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16861",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3262-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.