JAMES JOSEPH ROSSI PH.D., LP
NPI 1194365155
Psychologist - Clinical in Grand Rapids, MI

Active since January 08, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1545 68TH ST SE STE 200, GRAND RAPIDS, MI 49508(616) 447-5820 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2023, Jan 9, 2023, Jul 14, 2021 and 2 more (5 updates tracked since 2020).

About James Joseph Rossi Ph.d., Lp NPPES

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

JAMES JOSEPH ROSSI PH.D., LP (NPI 1194365155) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301018063) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194365155
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJAMES JOSEPH ROSSICredential: PH.D., LP
Location Address1545 68TH ST SE STE 200Grand Rapids, MI 49508-7896
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 8, 2020
Last NPPES UpdateApril 3, 20235 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1194365155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301018063
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1545 68TH ST SE STE 200, Grand Rapids, MI 49508

Accepted 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

James Joseph Rossi Ph.d., Lp 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 ID7012386303
PECOS Enrollment IDI20221208000668
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 James Rossi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
80 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group

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 49508 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Social Worker (Clinical)
1545 68TH ST SE STE 200
GRAND RAPIDS, MI 49508
Physician Assistant
1545 68TH ST SE STE 200
GRAND RAPIDS, MI 49508
Social Worker (Clinical)
1545 68TH ST SE STE 200
GRAND RAPIDS, MI 49508
Social Worker (Clinical)
1545 68TH ST SE STE 200
GRAND RAPIDS, MI 49508
Social Worker (Clinical)
1545 68TH ST SE STE 200
GRAND RAPIDS, MI 49508
Social Worker (Clinical)
1545 68TH ST SE STE 200
GRAND RAPIDS, MI 49508
Social Worker (Clinical)
1545 68TH ST SE STE 200
GRAND RAPIDS, MI 49508
Social Worker
1545 68TH ST SE STE 200
GRAND RAPIDS, MI 49508

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 James Rossi's NPI number?

The NPI number for James Rossi is 1194365155. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is James Rossi located?

James Rossi practices at 1545 68th St SE Ste 200, Grand Rapids, MI 49508. The listed phone number is (616) 447-5820.

What is James Rossi's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is James Rossi enrolled in Medicare?

Yes. James Rossi 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 James Rossi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Rossi reassigns Medicare benefits to Spectrum Health Primary Care Partners (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 James Rossi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Rossi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list James Rossi 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 James Rossi was last updated on April 3, 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.