Haley Lynn Bottrell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601009747 Issued in MI

Practice address

2342 Stonebridge Dr BLDG H
Flint, MI 48532-5406

Phone

(810) 732-3812

NPI assigned

Nov 14, 2018

Last updated

Feb 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Najjar Infectious Disease PCGroup PAC ID 1759484769, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
• McLaren Flint Hospital, Flint, MI, CCN 230141

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hbottrell1118282@direct.hfhs.org

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.

• Najjar Infectious Disease PC

  • Infectious Disease Physician
  • Flint, MI
  • NPI 1528105772
  Medicare reassignment Care Compare group
• Crystal Lake Clinic PC

  • Family Medicine Physician
  • Manistee, MI
  • NPI 1134491731
  Medicare reassignment
• Crystal Lake Clinic P.C.

  • Family Medicine Physician
  • Suttons Bay, MI
  • NPI 1164945978
  NPD
• Crystal Lake Clinic P.C.

  • Family Medicine Physician
  • Benzonia, MI
  • NPI 1316991755
  NPD
• Radiology & Nuclear Consultants LTD

  • Diagnostic Radiology Physician
  • Palos Heights, IL
  • NPI 1376535815
  NPD (past)

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

• Henry Ford Health Genesys Hospital

  • General Acute Care Hospital
  • Grand Blanc, MI
  • NPI 1407877723
  Care Compare affiliation
• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1558830042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 STONEBRIDGE DR BLDG H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325406",
            "telephone_number": "810-732-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 STONEBRIDGE DR BLDG H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325406",
            "telephone_number": "810-732-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTRELL",
        "first_name": "HALEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brionna Boseman
• Steven Allen Boskovich, MD
• Katelyn Bosley
• Rao S Botta, MD
• Robert Lee Bottinelli, PH.D.
• Shireesha Bottu, MD
• Katherine E. Boucha, LMSW
• Cassandra Bouchard, LMSW
• Jennifer Boudreau, PA-C
• Mary Lena Boulos-Alkhouri, DNP

• Physician Assistant in Flint, MI
• Providers in Flint, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.

Verify at the official NPI Registry.