JACQUELINE A WONDOLOWSKI LMSW
NPI 1255995213
Social Worker in Grand Rapids, MI
About Jacqueline A Wondolowski Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE A WONDOLOWSKI LMSW (NPI 1255995213) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801021654) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1981).
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
Jacqueline A Wondolowski Lmsw 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 Jacqueline Wondolowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Rehabilitation & Physical Medicine Specialists PC
- 8 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacqueline Wondolowski's NPI number?
The NPI number for Jacqueline Wondolowski is 1255995213. It was assigned to this individual provider in the NPPES registry on April 25, 2019.
Where is Jacqueline Wondolowski located?
Jacqueline Wondolowski practices at 350 Lafayette Ave SE Ste 301, Grand Rapids, MI 49503. The listed phone number is (616) 458-0801.
What is Jacqueline Wondolowski's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Jacqueline Wondolowski enrolled in Medicare?
Yes. Jacqueline Wondolowski 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 Jacqueline Wondolowski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Wondolowski reassigns Medicare benefits to Rehabilitation & Physical Medicine Specialists, P.C. (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 Jacqueline Wondolowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Wondolowski accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jacqueline Wondolowski 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 Jacqueline Wondolowski was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jacqueline A Wondolowski, LMSW · NPI 1255995213
Social Worker provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 25, 2019.
## Identity
- **NPI:** 1255995213 (Entity type: Individual)
- **Enumerated:** April 25, 2019
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 6801021654 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 350 LAFAYETTE AVE SE STE 301, Grand Rapids, MI 49503-4656
- **Phone:** (616) 458-0801 · **Fax:** (616) 458-4065
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Rehabilitation & Physical Medicine Specialists, P.C. (NPI 1639256902, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1981
## Record status
- **NPPES last updated:** April 25, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1255995213) · Data from the CMS NPPES public registry.