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KYLE KLAASEN
NPI 1366957573
Social Worker in Grand Rapids, MI

Active since December 11, 2017PECOS EnrolledAccepts Medicare Assignment
1939 S DIVISION AVE., GRAND RAPIDS, MI 49507(616) 247-3815 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kyle Klaasen NPPES

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

KYLE KLAASEN (NPI 1366957573) is an individual social worker in Grand Rapids, Michigan and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366957573
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameKYLE KLAASEN
Location Address1939 S DIVISION AVE.Grand Rapids, MI 49507
Mailing Address1939 S Division Ave.Grand Rapids, MI 49507 · (616) 247-3815
Phone(616) 247-3815
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 11, 2017
✔ NPI 1366957573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1939 S DIVISION AVE., Grand Rapids, MI 49507
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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

Kyle Klaasen 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 ID3577081629
PECOS Enrollment IDI20250513002416
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 Kyle Klaasen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Ottawa
23 mi
Mental Health (Including Community Mental Health Center)
12265 JAMES ST
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
  • 28 clinicians in this Medicare group
NPI 1619932381 (616) 393-5600

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

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.

TERRI A. HUMMEL
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
ANNA LAUKA
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
ASHLEY HOLCOM
Community Health Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
BROOKLYN LACKNER
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
AMANDA PETROVICH
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
GABRIEL SHYNE
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
MS. JANICE PLEASANT-PROCTOR
Social Worker (Clinical)
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
BRITTANY CARRICO
Social Worker (Clinical)
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815

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 Kyle Klaasen's NPI number?

The NPI number for Kyle Klaasen is 1366957573. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Where is Kyle Klaasen located?

Kyle Klaasen practices at 1939 S Division Ave., Grand Rapids, MI 49507. The listed phone number is (616) 247-3815.

What is Kyle Klaasen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kyle Klaasen enrolled in Medicare?

Yes. Kyle Klaasen 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 Kyle Klaasen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Klaasen reassigns Medicare benefits to County Of Ottawa (Holland, 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 Kyle Klaasen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Klaasen 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 Kyle Klaasen 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 Kyle Klaasen was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.