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ELIZABETH MORROW DEROSE MD
NPI 1265650667
Psychiatry & Neurology - Child & Adolescent Psychiatry in Grand Rapids, MI

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 281-6372(616) 281-6459 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2023, Aug 9, 2021, Aug 3, 2021 and 4 more (7 updates tracked since 2017).

About Elizabeth Morrow Derose Md NPPES

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

ELIZABETH MORROW DEROSE MD (NPI 1265650667) is an individual child & adolescent psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (4301106410) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1265650667
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameELIZABETH MORROW DEROSECredential: MD
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address360 Grand River Dr NeAda, MI 49301-9597 · (248) 563-9508
Phone(616) 281-6372
Fax(616) 281-6459
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2006
Enumeration DateApril 23, 2007
Last NPPES UpdateSeptember 28, 20237 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1265650667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in MI · 4301106410✔ Licensed in IN · 01070813A
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 4301106410 (MI)
300 68TH ST SE, Grand Rapids, MI 49548
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Other Names 1

Former Name (1)Elizabeth Kowal Md

Secondary Practice Location 1

Location 1790 Fuller Ave NEGrand Rapids, MI 49503-1918 · Phone (616) 336-3909 · Fax (616) 336-8830

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, Oscar Insurance Company and more.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

Elizabeth Morrow Derose Md 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 ID143471797
PECOS Enrollment IDI20211019002861
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

2

Medicare enrollment records show Elizabeth Derose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pine Rest Christian Mental Health Services
Same address
Psychiatry
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 147 clinicians in this Medicare group
NPI 1700894623 (616) 455-5000
Kent County Cmh Authority
9.8 mi
Community/Behavioral Health
790 FULLER AVE NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 164 clinicians in this Medicare group
NPI 1396404588 (616) 336-3909

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

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

JILLIAN LEIGH MURRAY L.C.S.W
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
CANDY MCKENNEY
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
TAO CHANCE BROWN-EDWARDS
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
MRS. REBECCA JOY BACK LMSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (269) 929-7342
SARA RENE QUASHNIE LLMSW
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
KIMERA RAIN HARRIS
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (800) 678-5500
AMY LOUISE MCGAREY MSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
JUNE BUIKEMA-TEBEAU
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000

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 Elizabeth Derose's NPI number?

The NPI number for Elizabeth Derose is 1265650667. It was assigned to this individual provider in the NPPES registry on April 23, 2007. The provider is also known as Elizabeth Kowal MD.

Where is Elizabeth Derose located?

Elizabeth Derose practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 281-6372.

What is Elizabeth Derose's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Elizabeth Derose enrolled in Medicare?

Yes. Elizabeth Derose 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 organizations bill Medicare for Elizabeth Derose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Derose reassigns Medicare benefits to 2 organizations: Pine Rest Christian Mental Health Services (Grand Rapids, MI) and Kent County Cmh Authority (Grand Rapids, MI). 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 Elizabeth Derose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Derose accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Elizabeth Derose 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 Elizabeth Derose affiliated with any hospitals?

According to CMS data, Elizabeth Derose is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Elizabeth Derose was last updated on September 28, 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.