Michelle D Bolyard is a Lagrange, Indiana based nurse practitioner with 12 years of experience in . She completed her graduation in 2013. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Michelle D Bolyard is 71004680A for Gerontology in Indiana. Her current practice location is 2500 N Detroit St, Lagrange. Patients can reach her at 260-463-2133. Michelle D Bolyard is NP and her NPI number (Unique professional ID assigned by NPPES) is 1316370018. Michelle D Bolyard has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Michelle D Bolyard speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7012145147
Enrollment ID:
I20140116000855
NPI Number:
1316370018
NPI Enumeration Date:
16 Aug, 2013
NPI Last Update On:
02 Jun, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michelle D Bolyard are as mentioned below.
License Number
Specialization
State
Status
71004680A
Gerontology
Indiana
Primary
28169140A
Registered Nurse
Indiana
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(150017)
Fort wayne, IN
Acute Care Hospital
(151330)
Decatur, IN
Critical Access Hospital
(150150)
Fort wayne, IN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Michelle D Bolyard is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Lutheran Medical Group Llc (4981751617)
254
Other Medical Identifiers:
Other legacy medical identifiers associated with Michelle D Bolyard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
201194780
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Michelle D Bolyard Po Box 236, Lagrange, Indiana
Zip:
46761-0236
Phone Number:
260-463-2133
Fax Number:
260-463-3775
Patients can reach Michelle D Bolyard at 2500 N Detroit St, Lagrange, Indiana or can call to book an appointment on 260-463-2133.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.