ANDREA KAY BOUMAN (MD) – Emergency Medicine Physician, NPI 1447612577
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,166 EMERGENCY MEDICINE in MI
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Provider Addresses for ANDREA KAY BOUMAN (MD)
UP Health System – Portage, 500, Campus Drive, Hancock, Quincy Township, Houghton County, Michigan, 49930, United States
HANCOCK, MI 499301452
Phone: (906) 483-1115
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-11-18
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191118003022 | I | Emergency Medicine | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 63 | 62 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 30 | 29 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 29 | 29 | $0 |
Insurance plans in this area (ZIP 49930)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Internal Medicine, Geriatric Medicine | MI | |
| R H E U M A T O L O G Y | NC | |
| General Surgery | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| U R O L O G Y | PA | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Internal Medicine | MI |
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