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VANESSA CARDENAS KIMBALL M.D.
NPI 1558622209
Pediatrics - Pediatric Gastroenterology in Grand Rapids, MI

Active since May 30, 2012PECOS Enrolled
35 MICHIGAN ST NE STE 4150, GRAND RAPIDS, MI 49503(616) 267-2100 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2023, Sep 14, 2021, Jul 12, 2019 and 2 more (5 updates tracked since 2018).

About Vanessa Cardenas Kimball M.d. NPPES

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

VANESSA CARDENAS KIMBALL M.D. (NPI 1558622209) is an individual pediatric gastroenterology provider in Grand Rapids, Michigan, licensed in Michigan (4301100270) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558622209
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameVANESSA CARDENAS KIMBALLCredential: M.D.
Location Address35 MICHIGAN ST NE STE 4150Grand Rapids, MI 49503-2529
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-2100
Sole ProprietorNo
Enumeration DateMay 30, 2012
Last NPPES UpdateNovember 6, 20235 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1558622209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in MI · 4301100270
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 4301100270 (MI)
35 MICHIGAN ST NE STE 4150, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Names 1

Former Name (1)Vanessa Cardenas Soto Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vanessa Cardenas Kimball M.d. 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 Reassignments

2

Medicare enrollment records show Vanessa Cardenas Kimball reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
Same address
Pediatric Endocrinology
35 MICHIGAN ST NE STE 1800
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1326599671 (616) 391-3933
Edward W Sparrow Hospital Association
30 mi
Pain Medicine
205 S DEXTER ST
Ionia, MI 48846
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
NPI 1891486205 (616) 527-0558

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.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

WHITNEY ANN MINK
Physician Assistant
35 MICHIGAN ST NE STE 4150
GRAND RAPIDS, MI 49503
Kent County (616) 267-2100
JAMIE JOY BART LMSW
Social Worker (Clinical)
35 MICHIGAN ST NE STE 4150
GRAND RAPIDS, MI 49503
Kent County (616) 267-2100
JESSICA RENEE VANSETTERS CPNP-AC/PC
Nurse Practitioner (Acute Care)
35 MICHIGAN ST NE STE 4150
GRAND RAPIDS, MI 49503
Kent County (616) 267-2100
MS. KARA ASHBY M.D., M.P.H
Pediatrics (Pediatric Gastroenterology)
35 MICHIGAN ST NE STE 4150
GRAND RAPIDS, MI 49503
Kent County (616) 267-2100
DR. CORY STINGL M.D.
Pediatrics (Pediatric Rheumatology)
35 MICHIGAN ST NE STE 4150
GRAND RAPIDS, MI 49503
Kent County (616) 267-2700
LAUREN MACHELLE JOSLYN PA-C
Physician Assistant
35 MICHIGAN ST NE STE 4150
GRAND RAPIDS, MI 49503
Kent County (616) 267-2600
AMIE DENA HINSHAW M.D.
Pediatrics (Pediatric Gastroenterology)
35 MICHIGAN ST NE STE 4150
GRAND RAPIDS, MI 49503
Kent County (616) 267-2100
LYNN MARIE VANDERWAL LMSW
Social Worker (Clinical)
35 MICHIGAN ST NE STE 4150
GRAND RAPIDS, MI 49503
Kent County (616) 267-2700

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 Vanessa Cardenas Kimball's NPI number?

The NPI number for Vanessa Cardenas Kimball is 1558622209. It was assigned to this individual provider in the NPPES registry on May 30, 2012. The provider is also known as Vanessa Cardenas Soto MD.

Where is Vanessa Cardenas Kimball located?

Vanessa Cardenas Kimball practices at 35 Michigan St NE Ste 4150, Grand Rapids, MI 49503. The listed phone number is (616) 267-2100.

What is Vanessa Cardenas Kimball's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Vanessa Cardenas Kimball enrolled in Medicare?

Yes. Vanessa Cardenas Kimball is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vanessa Cardenas Kimball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Cardenas Kimball reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Edward W Sparrow Hospital Association (Ionia, 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 Vanessa Cardenas Kimball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vanessa Cardenas Kimball accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Vanessa Cardenas Kimball 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 Vanessa Cardenas Kimball was last updated on November 6, 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.