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MRS. NICOLE MARIE VILLANUEVA MSW, LMSW
NPI 1457479347
Social Worker - Clinical in Grand Rapids, MI

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
25 SHELDON BLVD SE, GRAND RAPIDS, MI 49503(616) 459-4652(616) 459-0392 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nicole Marie Villanueva Msw, Lmsw NPPES

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

MRS. NICOLE MARIE VILLANUEVA MSW, LMSW (NPI 1457479347) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801081993) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1457479347
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. NICOLE MARIE VILLANUEVACredential: MSW, LMSW
Location Address25 SHELDON BLVD SEGrand Rapids, MI 49503-4209
Mailing Address25 Sheldon Blvd SeGrand Rapids, MI 49503-4209 · (616) 459-4652 · Fax (616) 459-0392
Phone(616) 459-4652
Fax(616) 459-0392
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 27, 2007
Last NPPES UpdateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1457479347 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 · 6801081993
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.
25 SHELDON BLVD SE, Grand Rapids, MI 49503
Open in Google Maps ↗

Secondary Practice Location 1

Location 16210 W Main StKalamazoo, MI 49009-8925 · Phone (269) 286-7030

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nicole Marie Villanueva Msw, 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 ID3779981832
PECOS Enrollment IDI20211005000892
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

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.

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.

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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS SARA MARIE WRIGHT MA
Counselor (Mental Health)
25 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 459-7062
ELIZABETH HAYES
Social Worker (Clinical)
25 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 426-3741
MATHEW KLEMP LMSW
Social Worker (Clinical)
25 SHELDON BLVD SE, YWCA COUNLSELING CENTER
GRAND RAPIDS, MI 49503
Kent County (616) 459-4652
JESSICA LAUREL DEJARNATT LMSW
Social Worker (Clinical)
25 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 426-3731
ANGELINA NICOLE SCIANNA LMSW
Social Worker (Clinical)
25 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 426-3736
APRIL KRUSE M.ED., LLPC
Community/Behavioral Health
25 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 459-7062
MS. JOYCE LUANN ALGER MA
Counselor (Professional)
25 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 459-7062
MS. BETHANY RUTH BERTAPELLE LMSW
Social Worker (Clinical)
25 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Kent County (616) 459-4652

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 Nicole Villanueva's NPI number?

The NPI number for Nicole Villanueva is 1457479347. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Nicole Villanueva located?

Nicole Villanueva practices at 25 Sheldon Blvd SE, Grand Rapids, MI 49503. The listed phone number is (616) 459-4652.

What is Nicole Villanueva's specialty?

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

Is Nicole Villanueva enrolled in Medicare?

Yes. Nicole Villanueva 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.

What insurance does Nicole Villanueva accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Nicole Villanueva 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 Nicole Villanueva affiliated with any hospitals?

According to CMS data, Nicole Villanueva is affiliated with Bronson Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Villanueva was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.