JUSTIN DEAN ROELOFS FNP-C
NPI 1376200584
Nurse Practitioner - Family in Grand Rapids, MI
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
Specialties & Licenses
Secondary Practice Location 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Justin Roelofs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 228 clinicians in this Medicare group
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 2,446 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.
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.
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, MIPhysician 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.
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.
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.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
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 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.
Where is Justin Roelofs located?
Justin Roelofs practices at 3264 N Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 367-1046.
What is Justin Roelofs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Justin Roelofs enrolled in Medicare?
Yes. Justin Roelofs 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 Justin Roelofs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Roelofs reassigns Medicare benefits to 2 organizations: Advanced Radiology Services PC (Grand Rapids, MI) and Spectrum Health Primary Care Partners (Grand Rapids, 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 Justin Roelofs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Roelofs accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Justin Roelofs 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 Justin Roelofs affiliated with any hospitals?
According to CMS data, Justin Roelofs is affiliated with Spectrum Health.
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 23 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.
# Justin Dean Roelofs, FNP-C · NPI 1376200584
Family physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since November 22, 2021.
## Identity
- **NPI:** 1376200584 (Entity type: Individual)
- **Enumerated:** November 22, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704327965 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3264 N EVERGREEN DR NE, Grand Rapids, MI 49525-9746
- **Phone:** (616) 367-1046 · **Fax:** (616) 361-5828
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advanced Radiology Services PC (NPI 1740283324, Grand Rapids, MI); Spectrum Health Primary Care Partners (NPI 1346480258, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1376200584) · Data from the CMS NPPES public registry.