CLARA VANDERWEIDE
NPI 1558744797
Nurse Practitioner - Family in Grand Rapids, MI
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clara Vanderweide is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Clara Vanderweide reassigns Medicare billing to 2 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
- 737 clinicians in this Medicare group
Howell, MI 48843
- Reassigned Medicare billing, Michigan enrollment
- 1,480 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 15
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 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.
Where is Clara Vanderweide located?
Clara Vanderweide practices at 730 Grandville Ave SW, Grand Rapids, MI 49503. The listed phone number is (616) 685-8400.
What is Clara Vanderweide's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Clara Vanderweide enrolled in Medicare?
Yes. Clara Vanderweide is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Clara Vanderweide's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clara Vanderweide reassigns Medicare benefits to 2 organizations: Advantage Health/Saint Mary's Medical Group (Grand Rapids, MI) and Iha Health Services Corporation (Howell, 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 Clara Vanderweide's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Clara Vanderweide · NPI 1558744797
Family physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 7, 2015.
## Identity
- **NPI:** 1558744797 (Entity type: Individual)
- **Enumerated:** July 7, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704293832 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 730 GRANDVILLE AVE SW, Grand Rapids, MI 49503-4920
- **Phone:** (616) 685-8400
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Advantage Health/Saint Mary's Medical Group (NPI 1457863565, Grand Rapids, MI); Iha Health Services Corporation (NPI 1891179032, Howell, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1558744797) · Data from the CMS NPPES public registry.