Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michele Leslie Bautista, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1689298333

Dr. Michele Leslie Bautista, MD is an Obstetrics/Gynecology in Fremont, Michigan. Qualified in 2019, 7 years ago. Practices with Newaygo County General Hospital Association, a 64-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

212 S Sullivan Ave Ste B
Fremont, MI 49412-1548
Phone: (231) 924-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301512246 (MI)

Record details

NPI number1689298333
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2020
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Newaygo County General Hospital Association — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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