JUSTIN DEAN ROELOFS FNP-C
NPI 1376200584
Nurse Practitioner - Family in Grand Rapids, MI

Q: What is Justin Roelofs's NPI number?

The NPI number for Justin Roelofs is 1376200584. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Q: What is Justin Roelofs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Roelofs was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 November 22, 2021PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 367-1046(616) 361-5828 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 5, 2022, Jan 3, 2022, Nov 22, 2021 (3 updates tracked since 2021).

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About Justin Dean Roelofs Fnp-c NPPES

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

JUSTIN DEAN ROELOFS FNP-C (NPI 1376200584) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704327965) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Grandville.

NPPES Registry Identity

NPI1376200584

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJUSTIN DEAN ROELOFSCredential: FNP-C

Location Address3264 N EVERGREEN DR NEGrand Rapids, MI 49525-9746

Mailing Address3264 N Evergreen Dr NeGrand Rapids, MI 49525-9746 · (616) 367-1046 · Fax (616) 361-5828

Phone(616) 367-1046

Fax(616) 361-5828

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 22, 2021

Last NPPES UpdateNovember 26, 20243 updates tracked since enumeration

NPPES CertifiedNovember 26, 2024

✔ NPI 1376200584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704327965

3264 N EVERGREEN DR NE, Grand Rapids, MI 49525

Open in Google Maps ↗

Secondary Practice Location 1

Location 16105 Wilson Ave SWGrandville, MI 49418-9714 · Phone (616) 486-5100

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 and accepts Medicare assignment

Justin Dean Roelofs Fnp-c 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 ID2769873678

PECOS Enrollment IDI20220104002101

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services56 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

16 services16 patients

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 49525 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

Quality

87.54

Promoting Interoperability

100

Improvement Activities

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.

DR. JON R HENKE MD

Radiology (Diagnostic Radiology)