ROXANNE BEATRICE AFFHOLTER LMSW
NPI 1518457100
Social Worker - Clinical in Grand Rapids, MI
About Roxanne Beatrice Affholter Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROXANNE BEATRICE AFFHOLTER LMSW (NPI 1518457100) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801102510) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
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 and accepts Medicare assignment
Roxanne Beatrice Affholter 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 Roxanne Affholter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Grant, MI 49327
- Reassigned Medicare billing, Michigan enrollment
- 180 clinicians in this Medicare group
Big Rapids, MI 49307
- Reassigned Medicare billing, Michigan enrollment
- 151 clinicians in this Medicare group
Whitmore Lake, MI 48189
- Reassigned Medicare billing, Michigan enrollment
- 13 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 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
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 Roxanne Affholter's NPI number?
The NPI number for Roxanne Affholter is 1518457100. It was assigned to this individual provider in the NPPES registry on May 18, 2018.
Where is Roxanne Affholter located?
Roxanne Affholter practices at 75 Sheldon Ave SE Fl 2, Grand Rapids, MI 49503. The listed phone number is (616) 447-5820.
What is Roxanne Affholter's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Roxanne Affholter enrolled in Medicare?
Yes. Roxanne Affholter 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 Roxanne Affholter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roxanne Affholter reassigns Medicare benefits to 4 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Newaygo County General Hospital Association (Grant, MI), Mecosta County Medical Center (Big Rapids, MI) and Anchor Point Of Hope Counseling Services PC (Whitmore Lake, 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 Roxanne Affholter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roxanne Affholter 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 2 other insurers list Roxanne Affholter 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 Roxanne Affholter was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Roxanne Beatrice Affholter, LMSW · NPI 1518457100
Clinical provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since May 18, 2018.
## Identity
- **NPI:** 1518457100 (Entity type: Individual)
- **Enumerated:** May 18, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801102510 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 SHELDON AVE SE FL 2, Grand Rapids, MI 49503-4224
- **Phone:** (616) 447-5820
## 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): Spectrum Health Primary Care Partners (NPI 1790093763, Grand Rapids, MI); Newaygo County General Hospital Association (NPI 1013040492, Grant, MI); Mecosta County Medical Center (NPI 1508146457, Big Rapids, MI); Anchor Point Of Hope Counseling Services PC (NPI 1720600653, Whitmore Lake, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1518457100) · Data from the CMS NPPES public registry.