DIANE BRUURSEMA LMSW
NPI 1487762175
Social Worker - Clinical in Holland, MI
About Diane Bruursema Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE BRUURSEMA LMSW (NPI 1487762175) is an individual clinical provider in Holland, Michigan, licensed in Michigan (6801067679) and active in the NPI registry since August 2006. She 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)
Diane Bruursema Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Diane Bruursema reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norton Shores, MI 49441
- Reassigned Medicare billing, Michigan enrollment
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 49424 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.
HOLLAND, MI 49424
HOLLAND, MI 49424
HOLLAND, MI 49424
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 Diane Bruursema's NPI number?
The NPI number for Diane Bruursema is 1487762175. It was assigned to this individual provider in the NPPES registry on August 25, 2006.
Where is Diane Bruursema located?
Diane Bruursema practices at 12265 James St, Holland, MI 49424. The listed phone number is (616) 494-5453.
What is Diane Bruursema's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Diane Bruursema enrolled in Medicare?
Yes. Diane Bruursema is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Diane Bruursema's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diane Bruursema reassigns Medicare benefits to Lakeshore Integrative Mental Health Services, LLC (Norton Shores, 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 Diane Bruursema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Diane Bruursema accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Diane Bruursema 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 Diane Bruursema was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Diane Bruursema, LMSW · NPI 1487762175
Clinical provider in Holland, Michigan. Individual provider, active in the CMS NPPES registry since August 25, 2006.
## Identity
- **NPI:** 1487762175 (Entity type: Individual)
- **Enumerated:** August 25, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801067679 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 12265 JAMES ST, Holland, MI 49424-8613
- **Phone:** (616) 494-5453
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lakeshore Integrative Mental Health Services, LLC (NPI 1447644471, Norton Shores, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1487762175) · Data from the CMS NPPES public registry.