STEPHEN MCGUIRE
NPI 1245895309
Social Worker - Clinical in Grand Rapids, MI
About Stephen Mcguire NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN MCGUIRE (NPI 1245895309) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801119862) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Stephen Mcguire 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.
Medicare Billing Reassignment
Medicare enrollment records show Stephen Mcguire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
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.
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.
GRAND RAPIDS, MI 49508
GRAND RAPIDS, MI 49508
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 Stephen Mcguire's NPI number?
The NPI number for Stephen Mcguire is 1245895309. It was assigned to this individual provider in the NPPES registry on May 4, 2019.
Where is Stephen Mcguire located?
Stephen Mcguire practices at 1545 68th St SE Ste 200, Grand Rapids, MI 49508. The listed phone number is (616) 447-5820.
What is Stephen Mcguire's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Stephen Mcguire enrolled in Medicare?
Yes. Stephen Mcguire 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 Stephen Mcguire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Mcguire 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 Stephen Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Mcguire 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 2 other insurers list Stephen Mcguire 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 Stephen Mcguire was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Stephen Mcguire · NPI 1245895309
Clinical provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since May 4, 2019.
## Identity
- **NPI:** 1245895309 (Entity type: Individual)
- **Enumerated:** May 4, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801119862 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1545 68TH ST SE STE 200, Grand Rapids, MI 49508-7896
- **Phone:** (616) 447-5820
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Spectrum Health Primary Care Partners (NPI 1821422007, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245895309) · Data from the CMS NPPES public registry.