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MRS. KRISTINA KAYE WIERSEMA LMSW
NPI 1346517513
Social Worker - Clinical in Traverse City, MI

Active since November 16, 2011PECOS EnrolledAccepts Medicare Assignment
1200 W ELEVENTH ST STE 218, TRAVERSE CITY, MI 49684(231) 714-0292(231) 714-0292 Get Directions Write a Review

NPPES record last updated: December 11, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Kristina Kaye Wiersema Lmsw NPPES

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

MRS. KRISTINA KAYE WIERSEMA LMSW (NPI 1346517513) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6801093573) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1346517513
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KRISTINA KAYE WIERSEMACredential: LMSW
Location Address1200 W ELEVENTH ST STE 218Traverse City, MI 49684-3289
Mailing Address13554 S High Point DrTraverse City, MI 49684-5534 · (231) 714-0292 · Fax (231) 714-0292
Phone(231) 714-0292
Fax(231) 714-0292
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 16, 2011
Last NPPES UpdateDecember 11, 2016
✔ NPI 1346517513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801093573
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1200 W ELEVENTH ST STE 218, Traverse City, MI 49684
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Other Names 1

Professional Name (2)Kristy Wiersema Lmsw

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, Priority Health.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

Mrs. Kristina Kaye Wiersema 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.

PECOS PAC ID2668790965
PECOS Enrollment IDI20150417000091
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 Reassignment

Medicare enrollment records show Kristina Wiersema reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Authentic Life Counseling And Wellness, PLLC
8.4 mi
Social Worker
1200 W ELEVENTH ST, SUITE 218
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
NPI 1518404128 (231) 714-0292

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kristina Wiersema's NPI number?

The NPI number for Kristina Wiersema is 1346517513. It was assigned to this individual provider in the NPPES registry on November 16, 2011. The provider is also known as Kristy Wiersema Lmsw.

Where is Kristina Wiersema located?

Kristina Wiersema practices at 1200 W Eleventh St Ste 218, Traverse City, MI 49684. The listed phone number is (231) 714-0292.

What is Kristina Wiersema's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristina Wiersema enrolled in Medicare?

Yes. Kristina Wiersema 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 Kristina Wiersema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Wiersema reassigns Medicare benefits to Authentic Life Counseling And Wellness, PLLC (Traverse City, 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 Kristina Wiersema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Wiersema accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kristina Wiersema 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 Kristina Wiersema was last updated on December 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.