Lindsay Boll

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007894 Issued in MI

Practice address

155 Rochdale Dr S Ste a
Rochester Hills, MI 48309-2276

Phone

(248) 608-0360

Fax

(248) 608-0362

NPI assigned

Aug 22, 2016

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Specialists of RochesterGroup PAC ID 1052780996, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dermatology Specialists of Rochester Hills

  • Dermatology Physician
  • Canton, MI
  • NPI 1114652831
  Medicare reassignment Care Compare group
• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1700069549

  MI

  Medicare reassignment NPD
• Berry Dermatology, P.C.

  • Dermatology Physician
  • Shelby Township, MI
  • NPI 1326386517
  Medicare reassignment
• Surgical Affiliates of California

  • Surgery Physician
  • Los Banos, CA
  • NPI 1932440781
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1912452863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ROCHDALE DR S STE A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092276",
            "telephone_number": "248-608-0360",
            "fax_number": "246-608-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ROCHDALE DR S STE A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092276",
            "telephone_number": "248-608-0360",
            "fax_number": "248-608-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLL",
        "first_name": "LINDSAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bnaebk PLLC
• Bodymind Network Center PLLC
• Bodyworkz and Co LLC
• Daniel Boggs, DC
• Roselyn Delacruz Bogner, MD
• Amanda B Boltwood, DDS
• Kenneth J Bonk, DDS
• Srinivas Bontha
• Tanisha Booker, CPSS
• Rachel Boreo

• Physician Assistant in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.