1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Nurse Practitioner
  6. NPI Profile

EMILY ROSE VIDRI
NPI 1093422172
Nurse Practitioner - Acute Care in Grand Rapids, MI

Active since October 31, 2022PECOS Enrolled
2680 LEONARD ST NE STE 3, GRAND RAPIDS, MI 49525(616) 317-7246(616) 920-6540 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emily Rose Vidri NPPES

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

EMILY ROSE VIDRI (NPI 1093422172) is an individual acute care provider in Grand Rapids, Michigan, licensed in Michigan (4704319248) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093422172
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameEMILY ROSE VIDRI
Location Address2680 LEONARD ST NE STE 3Grand Rapids, MI 49525-6902
Mailing Address7943 Kirkwood Trl SeAlto, MI 49302-8974 · (616) 307-1911
Phone(616) 317-7246
Fax(616) 920-6540
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 31, 2022
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1093422172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704319248
2680 LEONARD ST NE STE 3, Grand Rapids, MI 49525
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1310 Lafayette Ave SE Ste 300Grand Rapids, MI 49503-4693 · Phone (616) 685-3450
Location 2200 Jefferson Ave SEGrand Rapids, MI 49503-4502 · Phone (616) 685-1800
Location 31000 East Paris Ave SE Ste 200Grand Rapids, MI 49546-8383 · Phone (616) 685-3460

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, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Rose Vidri is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032588595
PECOS Enrollment IDI20221206001711
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

3

Medicare enrollment records show Emily Vidri reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advantage Health/Saint Mary's Medical Group
3.3 mi
Multi-Specialty
245 STATE ST SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
NPI 1376862151 (616) 685-8050
Nsa Pain Services Of Michigan III, PLLC
129 mi
Pain Medicine
10000 TELEGRAPH RD
Taylor, MI 48180
  • Reassigned Medicare billing, Michigan enrollment
  • 53 clinicians in this Medicare group
NPI 1376169524 (214) 687-0001
Northstar Anesthesia Of Michigan III PLLC
931 mi
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 clinicians in this Medicare group
NPI 1972126209 (214) 687-0001

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

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 8

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

HAVEN SPINE & PAIN CENTER PLLC
Pain Medicine (Interventional Pain Medicine)
2680 LEONARD ST NE STE 3
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. ADAM L POWELL D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
2680 LEONARD ST NE STE 3
GRAND RAPIDS, MI 49525
Kent County (616) 317-7246
DEBORAH KAY HUNTER PA
Physician Assistant
2680 LEONARD ST NE STE 3
GRAND RAPIDS, MI 49525
Kent County (616) 317-7246
MRS. LAURENA FAYE SCHULTZ NP
Nurse Practitioner
2680 LEONARD ST NE STE 3
GRAND RAPIDS, MI 49525
Kent County (616) 317-7246
MARC ALEXANDER KORN MD
Pain Medicine (Interventional Pain Medicine)
2680 LEONARD ST NE STE 3
GRAND RAPIDS, MI 49525
Kent County (616) 317-7246
CHARLES P BRAY PA-C
Physician Assistant
2680 LEONARD ST NE STE 3
GRAND RAPIDS, MI 49525
Kent County (616) 317-7246
ZACHARY NOWAK MD
Anesthesiology (Pain Medicine)
2680 LEONARD ST NE STE 3
GRAND RAPIDS, MI 49525
Kent County (616) 317-7246
AMY C BYLER PA-C, RD
Physician Assistant (Medical)
2680 LEONARD ST NE STE 3
GRAND RAPIDS, MI 49525
Kent County (616) 317-7246

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 Emily Vidri's NPI number?

The NPI number for Emily Vidri is 1093422172. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Emily Vidri located?

Emily Vidri practices at 2680 Leonard St NE Ste 3, Grand Rapids, MI 49525. The listed phone number is (616) 317-7246.

What is Emily Vidri's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Emily Vidri enrolled in Medicare?

Yes. Emily Vidri is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emily Vidri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Vidri reassigns Medicare benefits to 3 organizations: Advantage Health/Saint Mary's Medical Group (Grand Rapids, MI), Nsa Pain Services Of Michigan III, PLLC (Taylor, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). 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 Emily Vidri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Vidri accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Emily Vidri 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.

Is Emily Vidri affiliated with any hospitals?

According to CMS data, Emily Vidri is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Emily Vidri was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.