The Boutique at Mercy Health Lacks Cancer Center
NPI 1023274446 · Durable Medical Equipment & Medical Supplies · Grand Rapids, MI
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Boutique at Mercy Health Lacks Cancer Center is a Durable Medical Equipment & Medical Supplies organization in Grand Rapids, MI (NPI 1023274446).
Provider details
- NPI number
- 1023274446
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Matthew Biersack, President(616) 685-6413
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Trinity Health Boutique
Registry dates
- Enumerated
- 2008-08-05
- Last updated
- 2022-08-26
- Certified
- 2022-08-26
Frequently asked questions
- What is The Boutique at Mercy Health Lacks Cancer Center's NPI number?
- The Boutique at Mercy Health Lacks Cancer Center's National Provider Identifier (NPI) is 1023274446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Boutique at Mercy Health Lacks Cancer Center?
- The Boutique at Mercy Health Lacks Cancer Center is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is The Boutique at Mercy Health Lacks Cancer Center located?
- The Boutique at Mercy Health Lacks Cancer Center's practice location on file with NPPES is 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502.
- What is The Boutique at Mercy Health Lacks Cancer Center's phone number?
- The practice phone number listed in the NPPES registry for The Boutique at Mercy Health Lacks Cancer Center is (616) 685-5030.
- Does The Boutique at Mercy Health Lacks Cancer Center accept Medicare?
- The Boutique at Mercy Health Lacks Cancer Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Boutique at Mercy Health Lacks Cancer Center?
- The authorized official listed on The Boutique at Mercy Health Lacks Cancer Center's NPPES record is Matthew Biersack, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Boutique at Mercy Health Lacks Cancer Center's NPI active?
- Yes — The Boutique at Mercy Health Lacks Cancer Center's NPI (1023274446) is active in the NPPES registry as of the last update on 2022-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.