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SHELBY NICOLE TERPSTRA
NPI 1457831711
Social Worker - Clinical in Grand Rapids, MI

Active since August 16, 2018PECOS Enrolled
1939 S DIVISION AVE., GRAND RAPIDS, MI 49507(616) 247-3815(616) 245-0450 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 13, 2022, Nov 17, 2020, Mar 11, 2019 and 1 more (4 updates tracked since 2018).

About Shelby Nicole Terpstra NPPES

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

SHELBY NICOLE TERPSTRA (NPI 1457831711) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801108163) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1457831711
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY NICOLE TERPSTRA
Location Address1939 S DIVISION AVE.Grand Rapids, MI 49507
Mailing Address1939 S Division Ave.Grand Rapids, MI 49507 · (616) 247-3815 · Fax (616) 245-0450
Phone(616) 247-3815
Fax(616) 245-0450
Sole ProprietorNo
Enumeration DateAugust 16, 2018
Last NPPES UpdateMarch 26, 20244 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1457831711 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 · 6801108163
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.
1939 S DIVISION AVE., Grand Rapids, MI 49507
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Other Names 1

Former Name (1)Shelby Duimstra

Secondary Practice Location 1

Location 1790 Fuller Ave NEGrand Rapids, MI 49503-1918 · Phone (616) 336-3909

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Nicole Terpstra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shelby Terpstra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kent County Cmh Authority
3.6 mi
Community/Behavioral Health
790 FULLER AVE NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 164 clinicians in this Medicare group
NPI 1396404588 (616) 336-3909

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 49507 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.

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.

TERRI A. HUMMEL
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
ANNA LAUKA
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
ASHLEY HOLCOM
Community Health Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
BROOKLYN LACKNER
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
AMANDA PETROVICH
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
GABRIEL SHYNE
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
MS. JANICE PLEASANT-PROCTOR
Social Worker (Clinical)
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
TRACI REYNOLDS
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815

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 Shelby Terpstra's NPI number?

The NPI number for Shelby Terpstra is 1457831711. It was assigned to this individual provider in the NPPES registry on August 16, 2018. The provider is also known as Shelby Duimstra.

Where is Shelby Terpstra located?

Shelby Terpstra practices at 1939 S Division Ave., Grand Rapids, MI 49507. The listed phone number is (616) 247-3815.

What is Shelby Terpstra's specialty?

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

Is Shelby Terpstra enrolled in Medicare?

Yes. Shelby Terpstra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelby Terpstra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Terpstra reassigns Medicare benefits to Kent County Cmh Authority (Grand Rapids, MI). 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 Shelby Terpstra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Terpstra 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 Shelby Terpstra 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 Shelby Terpstra was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.