TERENCE ANDREW HAMBLETON LMSW
NPI 1306901632
Social Worker - Clinical in Grand Rapids, MI
About Terence Andrew Hambleton Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERENCE ANDREW HAMBLETON LMSW (NPI 1306901632) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801085842) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Terence Andrew Hambleton 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 Reassignments
3Medicare enrollment records show Terence Hambleton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Fruitport, MI 49415
- Reassigned Medicare billing, Michigan enrollment
- 130 clinicians in this Medicare group
Muskegon, MI 49442
- Reassigned Medicare billing, Michigan enrollment
- 150 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.
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, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Terence Hambleton's NPI number?
The NPI number for Terence Hambleton is 1306901632. It was assigned to this individual provider in the NPPES registry on December 27, 2006.
Where is Terence Hambleton located?
Terence Hambleton practices at 300 Lafayette SE Ste 3200, Grand Rapids, MI 49503. The listed phone number is (616) 685-6920.
What is Terence Hambleton's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Terence Hambleton enrolled in Medicare?
Yes. Terence Hambleton 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 Terence Hambleton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terence Hambleton reassigns Medicare benefits to 3 organizations: Advantage Health Saint Mary's Medical Group (Grand Rapids, MI), Mercy Physician Network (Fruitport, MI) and Mercy Health Partners - Physician Specialist (Muskegon, 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 Terence Hambleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terence Hambleton 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 Terence Hambleton 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 Terence Hambleton affiliated with any hospitals?
According to CMS data, Terence Hambleton is affiliated with Mercy Health Saint Mary's.
When was this NPI record last updated?
The NPPES record for Terence Hambleton was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Terence Andrew Hambleton, LMSW · NPI 1306901632
Clinical provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1306901632 (Entity type: Individual)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801085842 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LAFAYETTE SE, STE 3200, Grand Rapids, MI 49503
- **Phone:** (616) 685-6920 · **Fax:** (616) 685-5110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Advantage Health Saint Mary's Medical Group (NPI 1952340911, Grand Rapids, MI); Mercy Physician Network (NPI 1639502701, Fruitport, MI); Mercy Health Partners - Physician Specialist (NPI 1922248772, Muskegon, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** May 3, 2024
- **Other identifiers:** Medicaid 1306901632 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1306901632) · Data from the CMS NPPES public registry.