Leslie A. Boonstra, PA-C
NPI 1770618522ActiveIndividual· Physician Assistant· Grand Rapids, MI
Physician Assistant (PA-C) with Cherry Street Services Inc, practicing in Grand Rapids, Michigan. Their prescriptions cost Medicare Part D more than their services did: $463,800 for 3,155 claims, against $322.08 paid for services in 2024. Lists Spectrum Health as a hospital affiliation.
Overview
| NPI | 1770618522 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 22, 2007 |
| Last updated in NPPES | Dec 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601004592 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 35 across 3 procedure codes |
| Paid by Medicare | $322.08 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,155 · 6,636 30-day fills |
|---|---|
| Patients | 188 |
| Total drug cost | $463,800 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Cherry Street Services IncGrand Rapids, MI · 59 clinicians
Hospital affiliation
- Spectrum HealthGrand Rapids, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Grand Rapids
- 1003434507
- 1013102953
- 1013506625
- 1013620707
- 1023338621
- 1023416351
- 1033370366
- 1033746565
- 1043482680
- 1043564305
- 1043592777
- 1043628449
All 936 physician assistants in Grand Rapids · All physician assistants in Michigan