DR. LUKE VANDER WAL PSY.D
NPI 1467075176
Psychologist - Clinical in Grandville, MI
About Dr. Luke Vander Wal Psy.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LUKE VANDER WAL PSY.D (NPI 1467075176) is an individual clinical provider in Grandville, Michigan, licensed in Michigan (6301019396) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.
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. Luke Vander Wal Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Luke Vander Wal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 135 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 49418 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.
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 Luke Vander Wal's NPI number?
The NPI number for Luke Vander Wal is 1467075176. It was assigned to this individual provider in the NPPES registry on May 28, 2020.
Where is Luke Vander Wal located?
Luke Vander Wal practices at 4211 Parkway Place Dr SW, Grandville, MI 49418. The listed phone number is (616) 222-3700.
What is Luke Vander Wal's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Luke Vander Wal enrolled in Medicare?
Yes. Luke Vander Wal is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Luke Vander Wal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luke Vander Wal reassigns Medicare benefits to Pine Rest Christian Mental Health Services (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 Luke Vander Wal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Luke Vander Wal 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 Luke Vander Wal 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 Luke Vander Wal was last updated on October 31, 2023. 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.
# Dr. Luke Vander Wal, PSY.D · NPI 1467075176
Clinical provider in Grandville, Michigan. Individual provider, active in the CMS NPPES registry since May 28, 2020.
## Identity
- **NPI:** 1467075176 (Entity type: Individual)
- **Enumerated:** May 28, 2020
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 6301019396 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4211 PARKWAY PLACE DR SW, Grandville, MI 49418-2695
- **Phone:** (616) 222-3700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pine Rest Christian Mental Health Services (NPI 1386015683, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1467075176) · Data from the CMS NPPES public registry.