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Active NPI 1770618522 Individual Practitioner Female Practitioner

Leslie A Boonstra , PA-C

Physician Assistant • Grand Rapids, MI

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Leslie Boonstra, PA-C is a registered Physician Assistant practitioner in Grand Rapids, MI. With approximately 21 years of clinical practice since completing medical education in 2005, Leslie Boonstra provides healthcare services at the registered practice location at 550 CHERRY ST SE.

Leslie Boonstra is affiliated with Cherry Street Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

550 Cherry St Se

Grand Rapids, MI 495034748

Telephone 6162357272
Fax 6167762122
Associated Practice Facility / Clinic
🏢 Cherry Street Services, Inc. Facility NPI 1558459164

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grand Rapids, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +9.6 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
920 Specialists

Practicing in Grand Rapids, MI (7057 Statewide)

Telehealth Adoption Rate
17.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boonstra (21 Years) 21 Yrs
Grand Rapids Specialty Average (11.4 Years) 11.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
33 16 $26.00 $9.52

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601004592

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Cherry Street Services Inc

550 Cherry St Se, Grand Rapids, MI 495034748

Phone: 6162357272

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Paul Bryant , PA-C

Physician Assistant

NPI 1073648614

Physician Assistant (Certified)

Joni Dykema

Social Worker

NPI 1093081325
Dr. Henry Guzzo , MD

Family Medicine

NPI 1134364508

Doctor of Medicine (M.D.)

NPI 1225731300

Doctor of Dental Surgery

Ellen Mbungu

Social Worker - Clinical

NPI 1265076798
Adele Keuhs , LMSW

Social Worker

NPI 1356647283

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2012

Registered at 550 CHERRY ST SE, GRAND RAPIDS, MI 495034748 (Tel: 6162357272)

📍
Updated Business Mailing Address December 26, 2012

Registered at 100 CHERRY ST SE, GRAND RAPIDS, MI 495034526 (Tel: 6169658200)

👤
Provider Name / Credentials Updated December 26, 2012

Recorded as LESLIE BOONSTRA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2012

Physician Assistant (License #5601004592 in MI)

🟢
Initial NPI Registration & Enumeration February 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770618522
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2007
Last Update: December 26, 2012
Sole Proprietor: No

Mailing Address

100 Cherry St Se

Grand Rapids, MI 495034526

Phone: 6169658200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.