Jill Kristen Bollman, MS CCC A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000173 Issued in MI

Practice address

1560 E Sherman Blvd Ste 250
Muskegon, MI 49444-1854

Phone

(231) 739-7646

Fax

(231) 737-0505

NPI assigned

Jun 22, 2006

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 names 1

• Jill Kristen Salsbury Former name

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoskinson Health and Wellness Clinic LLCGroup PAC ID 1153706346, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4

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.

• Hoskinson Health & Wellness Clinic LLC

  • Multi-Specialty Clinic/Center
  • Gillette, WY
  • NPI 1376280750
  Medicare reassignment Care Compare group NPD
• Hoskinson Health & Wellness Clinic LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Gillette, WY
  • NPI 1003628611
  NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1710923958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E SHERMAN BLVD STE 250",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441854",
            "telephone_number": "231-739-7646",
            "fax_number": "231-737-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E SHERMAN BLVD STE 250",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441854",
            "telephone_number": "231-739-7646",
            "fax_number": "231-737-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLMAN",
        "first_name": "JILL",
        "middle_name": "KRISTEN",
        "credential": "MS CCC A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SALSBURY",
            "middle_name": "KRISTEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Boik, PHARMD
• Kevin John Bolak, C.P.
• Christina Rae Bolduc, RMA
• Kara L Boley, MNT
• Rebecca Jeanette Bolli
• Elizabeth Lorene Bolthouse, MA MS LPC
• Emily Bond, FNP-BC
• Rebecca Lynn Bond, D.O.
• Lisa McKay Bonilla
• David Dirk Bonnema, M.D.

• Audiologist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.