DR. CARYN JEAN VANDENBERG M.D.
NPI 1447600598
Pediatrics in Grand Rapids, MI
About Dr. Caryn Jean Vandenberg M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARYN JEAN VANDENBERG M.D. (NPI 1447600598) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301110090) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Caryn Jean Vandenberg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Caryn Vandenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 5,299 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.
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.
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 49503
GRAND RAPIDS, MI 49503
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 Caryn Vandenberg's NPI number?
The NPI number for Caryn Vandenberg is 1447600598. It was assigned to this individual provider in the NPPES registry on June 20, 2016.
Where is Caryn Vandenberg located?
Caryn Vandenberg practices at 330 Barclay Ave NE Suite 300, Grand Rapids, MI 49503. The listed phone number is (616) 391-8810.
What is Caryn Vandenberg's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Caryn Vandenberg enrolled in Medicare?
Yes. Caryn Vandenberg is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Caryn Vandenberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caryn Vandenberg reassigns Medicare benefits to The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX). 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 Caryn Vandenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Caryn Vandenberg accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Caryn Vandenberg 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 Caryn Vandenberg was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Caryn Jean Vandenberg, M.D. · NPI 1447600598
Pediatrics physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 20, 2016.
## Identity
- **NPI:** 1447600598 (Entity type: Individual)
- **Enumerated:** June 20, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301110090 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 330 BARCLAY AVE NE, SUITE 300, Grand Rapids, MI 49503-2556
- **Phone:** (616) 391-8810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The University Of Texas Southwestern Medical Center At Dallas (NPI 1417099599, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 20, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1447600598) · Data from the CMS NPPES public registry.