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MANDI RAE HYSON LMSW
NPI 1093360158
Social Worker - Clinical in Grandville, MI

Active since August 06, 2019PECOS Enrolled
4565 WILSON AVE SW STE 1A, GRANDVILLE, MI 49418(616) 591-9000(616) 591-9060 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2023, Jun 1, 2020, Aug 6, 2019 (3 updates tracked since 2019).

About Mandi Rae Hyson Lmsw NPPES

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

MANDI RAE HYSON LMSW (NPI 1093360158) is an individual clinical provider in Grandville, Michigan and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1093360158
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMANDI RAE HYSONCredential: LMSW
Location Address4565 WILSON AVE SW STE 1AGrandville, MI 49418-2371
Mailing Address7189 Westwood DrJenison, MI 49428-7105 · (616) 214-5181
Phone(616) 591-9000
Fax(616) 591-9060
Sole ProprietorNo
Enumeration DateAugust 6, 2019
Last NPPES UpdateJune 14, 20233 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
✔ NPI 1093360158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
4565 WILSON AVE SW STE 1A, Grandville, MI 49418
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Secondary Practice Location 1

Location 1100 Cherry St SEGrand Rapids, MI 49503-4526 · Phone (616) 965-8200 ext. 7195 · Fax (616) 940-5340

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company 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 (PECOS)

Mandi Rae Hyson Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Mandi Hyson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Synergy Behavioral Health
Same address
Professional
4565 WILSON AVE SW STE 1A
Grandville, MI 49418
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group
NPI 1477439263 (616) 215-0919
Cherry Street Services, Inc.
7.7 mi
Federally Qualified Health Center (FQHC)
550 CHERRY ST SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 115 clinicians in this Medicare group
NPI 1558459164 (616) 235-7289

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 49418 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 7

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

SEAN CORBIN LPC
Counselor (Professional)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Kent County (616) 591-9000
TONI BUTLER LLMSW
Social Worker (Clinical)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Kent County (616) 591-9000
HALEY BORROW LMSW
Social Worker (Clinical)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Kent County (616) 591-9000
KARMEN RENEE EAREGOOD TAYLOR
Counselor (Mental Health)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Kent County (616) 591-9000
SYNERGY BEHAVIORAL HEALTH
Counselor (Professional)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Kent County (616) 215-0919
REILLEY NICHOLE WARNER LLMSW
Social Worker (Clinical)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Kent County (616) 591-9000
JESSICA ANN CHESLEK
Counselor (Mental Health)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Kent County (616) 591-9000

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 Mandi Hyson's NPI number?

The NPI number for Mandi Hyson is 1093360158. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Mandi Hyson located?

Mandi Hyson practices at 4565 Wilson Ave SW Ste 1A, Grandville, MI 49418. The listed phone number is (616) 591-9000.

What is Mandi Hyson's specialty?

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

Is Mandi Hyson enrolled in Medicare?

Yes. Mandi Hyson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mandi Hyson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandi Hyson reassigns Medicare benefits to 2 organizations: Synergy Behavioral Health (Grandville, MI) and Cherry Street Services, Inc. (Grand Rapids, MI). Each 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 Mandi Hyson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mandi Hyson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Mandi Hyson 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 Mandi Hyson was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.