NICOLE H WYNGARDEN PHD
NPI 1265795934
Psychologist - Clinical in Byron Center, MI

Q: What is Nicole Wyngarden's NPI number?

The NPI number for Nicole Wyngarden is 1265795934. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Q: What is Nicole Wyngarden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Wyngarden was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since June 19, 2012PECOS Enrolled

6500 BYRON CENTER AVE SW, BYRON CENTER, MI 49315(616) 281-6311 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole H Wyngarden Phd NPPES

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

NICOLE H WYNGARDEN PHD (NPI 1265795934) is an individual clinical provider in Byron Center, Michigan, licensed in Michigan (6301015679) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265795934

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameNICOLE H WYNGARDENCredential: PHD

Location Address6500 BYRON CENTER AVE SWByron Center, MI 49315-9080

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000

Phone(616) 281-6311

Sole ProprietorNo

Enumeration DateJune 19, 2012

Last NPPES UpdateDecember 2, 2024

NPPES CertifiedDecember 2, 2024

✔ NPI 1265795934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MI · 6301015679✔ Licensed in MI · 6301015103

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.

Also ListedPsychologistTaxonomy 103T00000X · License 6301015679 (MI)

6500 BYRON CENTER AVE SW, Byron Center, MI 49315

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Secondary Practice Locations 3

Location 13225 N Evergreen Dr NEGrand Rapids, MI 49525-9334 · Phone (616) 364-1500

Location 2700 Hammond Rd ETraverse City, MI 49686-8641 · Phone (231) 947-2255

Location 3300 68th St SEGrand Rapids, MI 49548-6927 · Phone (616) 281-6311

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, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole H Wyngarden Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49315 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.

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Other Providers at the Same Location NPPES 10

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

DR. SHANNON DRABEK PSY.D.

Psychologist (Clinical)