SCOTT RUSSELL VANDEN BOSCH (PA-C) – Physician Assistant, NPI 1891152146

SCOTT RUSSELL VANDEN BOSCH (PA-C) is a healthcare provider. based in Coldwater, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for SCOTT RUSSELL VANDEN BOSCH (PA-C) is 1891152146

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT RUSSELL VANDEN BOSCH (PA-C)
NPI
1891152146
Phone
(616) 644-4821
Address
121 HATCH AVE
Enumeration Date
18 January 2016
Last Update Date
18 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172799599
Graduation Year
2015 (11 years ago)
PAC ID
0345546651
Group Practice PAC ID
8820123730
Professional Enrollment ID
I20210707000909
Address ID
MI490369462CO410XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for SCOTT RUSSELL VANDEN BOSCH (PA-C)

  • 121, Hatch Avenue, Coldwater, Branch County, Michigan, 49036, United States

    COLDWATER, MI 490361242

    Phone: (616) 644-4821

    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)

CMS reports 98 Open Payments records for all available years, with a total value of $1,644.

Total Amount is formed as General ($1,644) + Research ($0) + Ownership ($0) = $1,644.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($303).

Total Amount

$1,644

General + Research + Ownership

Payments

98

Total payment records

General Amount

$1,644

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160314000921IPhysician AssistantMITBD
I20210707000909IPhysician AssistantINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg22835$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance21643$0
99213Established patient office or other outpatient visit, 20-29 minutes12070$0
J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose9316$0
99214Established patient office or other outpatient visit, 30-39 minutes8252$0
View full utilization report →

Insurance plans in this area (ZIP 49036)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820123730View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Family PracticeMI
Physical Therapist In Private PracticeMI
Nurse PractitionerIN
Nurse PractitionerMI
Physician AssistantMI
Orthopedic SurgeryMI
-MI
Physical Therapist In Private PracticeMI
Physician AssistantMI

Reviews

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Frequently asked questions

What unique ID ties claims to SCOTT RUSSELL VANDEN BOSCH (PA-C)?
NPI 1891152146 is assigned to SCOTT RUSSELL VANDEN BOSCH (PA-C) under the national enumeration system.
Is SCOTT RUSSELL VANDEN BOSCH (PA-C) active in the national directory?
SCOTT RUSSELL VANDEN BOSCH (PA-C)'s public NPI profile is in an active state.
Does SCOTT RUSSELL VANDEN BOSCH (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for SCOTT RUSSELL VANDEN BOSCH (PA-C). Clinical services aligned with this taxonomy classification.
Where is SCOTT RUSSELL VANDEN BOSCH (PA-C)'s primary listing?
We display Coldwater, Michigan because that is what the record indicates for SCOTT RUSSELL VANDEN BOSCH (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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