Ann Marie Boeskool, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005522 Issued in MI

Practice address

50505 Schoenherr Rd Ste 320
Shelby Township, MI 48315-3141

Phone

(586) 580-3062

NPI assigned

Jun 28, 2009

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

Other identifiers 1

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

Wayne State University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology Associates of Michigan, P.C.Group PAC ID 1850330309, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: aboeskool250913@direct.hfhs.org
• Direct secure messaging: ann.boeskool.p1@direct.cardofmich.nextgenshare.com

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.

• Cardiology Associates of Michigan, P.C.

  • Cardiovascular Disease Physician
  • Shelby Township, MI
  • NPI 1114942000
  Medicare reassignment Care Compare group

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

• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1902842735
  Care Compare affiliation

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

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1609004753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 320",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-580-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 320",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-580-3062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25910 Kelly Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480664466",
            "country_code": "US",
            "telephone_number": "586-772-3366",
            "fax_number": "586-772-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOESKOOL",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-28",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609004753",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Dooley Bismack, LLP
• Mohammad Bitar, M.D.
• Linda A Blake, D.C.
• Raquel Frances Blattert
• Elizabeth Blondell
• Erin Boguslawski, DPT
• Crystal Anne Bolos, FNP-BC
• Joseph Dante Bommarito, PROFESSIONAL COUNSEL
• Trina Bond
• Emily P Bongiorno

• Physician Assistant in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.