CLARA VANDERWEIDE
NPI 1558744797
Nurse Practitioner - Family in Grand Rapids, MI

Q: What is Clara Vanderweide's NPI number?

The NPI number for Clara Vanderweide is 1558744797. It was assigned to this individual provider in the NPPES registry on July 7, 2015. The provider is also known as Clara Dejonge.

Q: What is Clara Vanderweide's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Clara Vanderweide was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 07, 2015PECOS Enrolled

730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503(616) 685-8400 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clara Vanderweide NPPES

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

CLARA VANDERWEIDE (NPI 1558744797) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704293832) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558744797

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCLARA VANDERWEIDE

Location Address730 GRANDVILLE AVE SWGrand Rapids, MI 49503-4920

Mailing Address1900 44th St SeKentwood, MI 49508-5008

Phone(616) 685-8400

Sole ProprietorNo

Enumeration DateJuly 7, 2015

✔ NPI 1558744797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704293832

730 GRANDVILLE AVE SW, Grand Rapids, MI 49503

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Other Names 1

Former Name (1)Clara Dejonge

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clara Vanderweide 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.

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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANNE V STRAUSS PA-C

Physician Assistant (Medical)