MACKENZIE SPROULL MD
NPI 1477129237
Family Medicine in Caledonia, MI
About Mackenzie Sproull Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE SPROULL MD (NPI 1477129237) is an individual family medicine provider in Caledonia, Michigan, licensed in Michigan (4351050715) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2023).
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)
Mackenzie Sproull Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mackenzie Sproull 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
- 2,446 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.
Mercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49316 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CALEDONIA, MI 49316
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 Mackenzie Sproull's NPI number?
The NPI number for Mackenzie Sproull is 1477129237. It was assigned to this individual provider in the NPPES registry on June 2, 2021.
Where is Mackenzie Sproull located?
Mackenzie Sproull practices at 9090 S Rodgers Ct SE Ste A, Caledonia, MI 49316. The listed phone number is (616) 891-0422.
What is Mackenzie Sproull's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mackenzie Sproull enrolled in Medicare?
Yes. Mackenzie Sproull is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mackenzie Sproull's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Sproull reassigns Medicare benefits to Spectrum Health Primary Care Partners (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 Mackenzie Sproull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie Sproull 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 list Mackenzie Sproull 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 Mackenzie Sproull affiliated with any hospitals?
According to CMS data, Mackenzie Sproull is affiliated with Mercy Health Saint Mary's.
When was this NPI record last updated?
The NPPES record for Mackenzie Sproull was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.
# Mackenzie Sproull, MD · NPI 1477129237
Family Medicine physician in Caledonia, Michigan. Individual provider, active in the CMS NPPES registry since June 2, 2021.
## Identity
- **NPI:** 1477129237 (Entity type: Individual)
- **Enumerated:** June 2, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4351050715 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 9090 S RODGERS CT SE STE A, Caledonia, MI 49316-8052
- **Phone:** (616) 891-0422
## 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:** Spectrum Health Primary Care Partners (NPI 1821422007, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477129237) · Data from the CMS NPPES public registry.