MRS. NICOLE MARIE VILLANUEVA MSW, LMSW
NPI 1457479347
Social Worker - Clinical in Grand Rapids, MI
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
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Nicole Villanueva reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kalamazoo, MI 49007
- Reassigned Medicare billing, Michigan enrollment
- 1,133 clinicians in this Medicare group
Battle Creek, MI 49017
- Reassigned Medicare billing, Michigan enrollment
- 557 clinicians in this Medicare group
South Haven, MI 49090
- Reassigned Medicare billing, Michigan enrollment
- 190 clinicians in this Medicare group
Paw Paw, MI 49079
- Reassigned Medicare billing, Michigan enrollment
- 251 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.
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, MIPhysician 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.
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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Which organizations bill Medicare for Nicole Villanueva's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Villanueva reassigns Medicare benefits to 4 organizations: Bronson Methodist Hospital (Kalamazoo, MI), Bronson Battle Creek Hospital (Battle Creek, MI), Bronson South Haven Hospital (South Haven, MI) and Bronson Lakeview Hospital (Paw Paw, 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 Nicole Villanueva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Villanueva accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers 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.
# Mrs. Nicole Marie Villanueva, MSW, LMSW · NPI 1457479347
Clinical provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1457479347 (Entity type: Individual)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801081993 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 25 SHELDON BLVD SE, Grand Rapids, MI 49503-4209
- **Phone:** (616) 459-4652 · **Fax:** (616) 459-0392
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Bronson Methodist Hospital (NPI 1417961137, Kalamazoo, MI); Bronson Battle Creek Hospital (NPI 1093119638, Battle Creek, MI); Bronson South Haven Hospital (NPI 1174749170, South Haven, MI); Bronson Lakeview Hospital (NPI 1235131137, Paw Paw, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** November 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1457479347) · Data from the CMS NPPES public registry.