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Nicole M. Bossenbroek, M.D.

NPI 1619909611ActiveIndividual· Dermatology, Dermatopathology· Grand Rapids, MI

Dermatology, Dermatopathology (M.D.) in Grand Rapids, Michigan, trained at Medical College of Wisconsin (class of 2002). Their prescriptions cost Medicare Part D more than their services did: $156,459 for 521 claims, against $49,942 paid for services in 2024. Abbvie Inc. was the largest of 20 companies reporting payments in 2025, $2,362 in all, mostly food and beverage.

Overview

NPI1619909611
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedJul 7, 2006
Last updated in NPPESAug 13, 2026
Certified by providerAug 13, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology, Dermatopathology Primary207ND0900X4301079716MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Dermatology (MI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients250
Services billed1,229 across 40 procedure codes
Paid by Medicare$49,942

Part D prescriptions in 2024

Prescriptions (claims)521 · 652 30-day fills
Patients226
Total drug cost$156,459
Generic share95% of claims

Medicare sources and data years

Education and affiliations

Medical schoolMedical College of Wisconsin
Graduation year2002
Medicare specialtyDermatology
Secondary specialtiesPathology

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$2,362 · 135 payments from 20 companies
  • 2024$2,320 · 110 payments from 23 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$2,362 · 135 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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