Active NPI
Caitlin Sommer Boyak, NP
- Nurse Practitioner
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704303958
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Mar 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | PENDING | IL | |
| Gerontology Nurse Practitioner | 363LG0600X | PENDING | IL | |
| Nurse Practitioner | 363L00000X | 4704303958 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
1525 W Harrison St Ste 1159
Chicago, IL 60607-3105
Phone (312) 947-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
1725 W Harrison St
Chicago, IL 60612-3849
1725 W Harrison St
Suite 1159
Chicago, IL 60612-3883
Phone (312) 942-5020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | IL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
| 4704303958 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Regents of the University of Michigan | Nurse Practitioner | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1411 S Michigan Ave
Fl 5
Chicago, IL 60605
Phone (312) 454-2700
1725 W Harrison St
Ste 358
Chicago, IL 60612
Phone (312) 563-5020
516 S Loomis St
Chicago, IL 60607
Phone (717) 975-6402
1725 W Harrison St
Ste 1159
Chicago, IL 60612
Phone (312) 942-5020
75 Remittance Dr
Dept 1611
Chicago, IL 60675
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
Organizations & group practices 4
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.
-
- Nurse Practitioner
- Ann Arbor, MI
- NPI 1447275102
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1508513714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-4000"
}
],
"practiceLocations": [
{
"address_1": "1525 W Harrison St Ste 1159",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606073105",
"country_code": "US",
"telephone_number": "312-947-5020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYAK",
"first_name": "CAITLIN",
"middle_name": "SOMMER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "PENDING",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "PENDING",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704303958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.