LISA ROOSIEN RD
NPI 1104312859
Dietitian, Registered in Grand Rapids, MI

Q: What is Lisa Roosien's NPI number?

The NPI number for Lisa Roosien is 1104312859. It was assigned to this individual provider in the NPPES registry on July 5, 2018. The provider is also known as Lisa Granskog.

Q: What is Lisa Roosien's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Roosien was last updated on August 30, 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.

Active since July 05, 2018Accepts Medicare Assignment

1500 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506(616) 238-4786 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Lisa Roosien Rd NPPES

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

LISA ROOSIEN RD (NPI 1104312859) is an individual dietitian, registered in Grand Rapids, Michigan, licensed in Michigan (915921) and active in the NPI registry since July 2018. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1104312859

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameLISA ROOSIENCredential: RD

Location Address1500 E BELTLINE AVE SEGrand Rapids, MI 49506-4361

Mailing Address1500 E Beltline Ave SeGrand Rapids, MI 49506-4361

Phone(616) 238-4786

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 5, 2018

Last NPPES UpdateAugust 30, 2021

NPPES CertifiedAugust 30, 2021

✔ NPI 1104312859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MI · 915921

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1500 E BELTLINE AVE SE, Grand Rapids, MI 49506

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Other Names 1

Former Name (1)Lisa Granskog

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

Lisa Roosien Rd 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 ID3375893233

PECOS Enrollment IDI20180913003255

Medicare Billing Reassignment

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

Hope Network - Rehabilitation Services

0.1 mi

Brain Injury Medicine

1490 E BELTLINE AVE SE
Grand Rapids, MI 49506

Reassigned Medicare billing, Michigan enrollment
59 clinicians in this Medicare group

NPI 1528043544 (616) 940-0040

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 49506 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

$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 9

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

DR. SEAN ANSON MEDLIN D.C.

Chiropractor

1500 E BELTLINE AVE SE, 145
GRAND RAPIDS, MI 49506

Kent County (703) 606-8287

AMY VANDENBOS

Licensed Practical Nurse

1500 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506

Kent County (855) 407-7575

MRS. KARINA VEENSTRA LMSW

Social Worker (Clinical)

1500 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506

Kent County (616) 965-8200

BEVERLY WILLIAMS LMSW

Social Worker (Clinical)

1500 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506

Kent County (616) 970-0612

KRYSTAL CZEGUS D.C.

Chiropractor

1500 E BELTLINE AVE SE, SUITE 145
GRAND RAPIDS, MI 49506

Kent County (586) 255-2772

MAURICE GRONDIN LMSW LMFT CAADC

Social Worker

1500 E BELTLINE AVE SE, STE 105
GRAND RAPIDS, MI 49506

Kent County (616) 322-0705

CLEAR CONNECTIONS CHIROPRACTIC PLLC

Chiropractor

1500 E BELTLINE AVE SE, SUITE 145
GRAND RAPIDS, MI 49506

Kent County (616) 608-3606

AMANDA JO BRADLEY LPN

Licensed Practical Nurse

1500 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506

Kent County (231) 580-6415

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 Lisa Roosien's NPI number?

The NPI number for Lisa Roosien is 1104312859. It was assigned to this individual provider in the NPPES registry on July 5, 2018. The provider is also known as Lisa Granskog.

Where is Lisa Roosien located?

Lisa Roosien practices at 1500 E Beltline Ave SE, Grand Rapids, MI 49506. The listed phone number is (616) 238-4786.

What is Lisa Roosien's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Lisa Roosien enrolled in Medicare?

Yes. Lisa Roosien 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 Lisa Roosien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Roosien reassigns Medicare benefits to Hope Network - Rehabilitation 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 Lisa Roosien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Roosien was last updated on August 30, 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.