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MRS. ABBY PHILLIPS LMSW
NPI 1063094936
Social Worker - Clinical in Caledonia, MI

Active since April 21, 2021PECOS EnrolledAccepts Medicare Assignment
6505 CHERRY MEADOW DR SE, CALEDONIA, MI 49316(616) 281-6363 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Abby Phillips Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ABBY PHILLIPS LMSW (NPI 1063094936) is an individual clinical provider in Caledonia, Michigan, licensed in Michigan (6801093456) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063094936
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ABBY PHILLIPSCredential: LMSW
Location Address6505 CHERRY MEADOW DR SECaledonia, MI 49316-9484
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 281-6363 · Fax (616) 455-6096
Phone(616) 281-6363
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 21, 2021
NPPES CertifiedApril 21, 2021
✔ NPI 1063094936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801093456
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6505 CHERRY MEADOW DR SE, Caledonia, MI 49316
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Abby Phillips Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294134177
PECOS Enrollment IDI20210526000124
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Abby Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pine Rest Christian Mental Health Services
8.1 mi
Social Worker
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 261 clinicians in this Medicare group
NPI 1922019157 (616) 455-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK RECKER LPC
Counselor (Professional)
6505 CHERRY MEADOW DR SE
CALEDONIA, MI 49316
Kent County (616) 891-8770
MRS. KATHRYN MARIE MOHNEY PA-C
Physician Assistant
6505 CHERRY MEADOW DR SE
CALEDONIA, MI 49316
Kent County (616) 891-8770
DANTE JONES LPC
Counselor (Professional)
6505 CHERRY MEADOW DR SE
CALEDONIA, MI 49316
Kent County (616) 891-8770
ANDREA LYNNE REIFFER
Social Worker
6505 CHERRY MEADOW DR SE
CALEDONIA, MI 49316
Kent County (616) 891-8770
NATHAN BROEK LLMSW
Social Worker
6505 CHERRY MEADOW DR SE
CALEDONIA, MI 49316
Kent County (616) 891-8770
MEREDITH ELAINE MOCKABEE LMSW
Social Worker (Clinical)
6505 CHERRY MEADOW DR SE
CALEDONIA, MI 49316
Kent County (616) 891-8770
MRS. TAKARA TAYLOR LLP
Psychologist
6505 CHERRY MEADOW DR SE
CALEDONIA, MI 49316
Kent County (616) 891-8770
JENNIFER ANN BATHRICK LPC
Counselor (Professional)
6505 CHERRY MEADOW DR SE
CALEDONIA, MI 49316
Kent County (616) 891-8770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abby Phillips's NPI number?

The NPI number for Abby Phillips is 1063094936. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Abby Phillips located?

Abby Phillips practices at 6505 Cherry Meadow Dr SE, Caledonia, MI 49316. The listed phone number is (616) 281-6363.

What is Abby Phillips's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Abby Phillips enrolled in Medicare?

Yes. Abby Phillips is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Abby Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abby Phillips reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abby Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abby Phillips accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Oscar Insurance Company and Priority Health and 1 other insurer list Abby Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abby Phillips was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.