SHANNON LORELLE WIERSMA NP
NPI 1316428253
Nurse Practitioner in Grand Rapids, MI

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
221 MICHIGAN ST NE STE 300, GRAND RAPIDS, MI 49503(616) 459-7258(616) 459-5215 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2022, Feb 22, 2021, Aug 28, 2018 (3 updates tracked since 2018).

About Shannon Lorelle Wiersma Np NPPES

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

SHANNON LORELLE WIERSMA NP (NPI 1316428253) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (4704292413) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316428253
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON LORELLE WIERSMACredential: NP
Location Address221 MICHIGAN ST NE STE 300Grand Rapids, MI 49503-2537
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Fax(616) 459-5215
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2018
Last NPPES UpdateMarch 9, 20223 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
NPI 1316428253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704292413
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

221 MICHIGAN ST NE STE 300, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Lorelle Wiersma Np 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 ID6901158971
PECOS Enrollment IDI20181003001255
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.

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Surgery (Plastic and Reconstructive Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Physician Assistant (Surgical)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Nurse Practitioner
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Nurse Practitioner
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Physician Assistant (Surgical)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Nurse Practitioner (Gerontology)
221 MICHIGAN ST NE STE 300
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 Shannon Wiersma's NPI number?

The NPI number for Shannon Wiersma is 1316428253. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Shannon Wiersma located?

Shannon Wiersma practices at 221 Michigan St NE Ste 300, Grand Rapids, MI 49503. The listed phone number is (616) 459-7258.

What is Shannon Wiersma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Wiersma enrolled in Medicare?

Yes. Shannon Wiersma 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.

What insurance does Shannon Wiersma accept?

Health plans from McLaren Health Plan Community and Priority Health list Shannon Wiersma 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 Shannon Wiersma affiliated with any hospitals?

According to CMS data, Shannon Wiersma is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Shannon Wiersma was last updated on March 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.