LUCILLE YURKO VANDERWOUDE DNP
NPI 1568075364
Nurse Practitioner - Gerontology in Grand Rapids, MI

Q: What is Lucille Vanderwoude's NPI number?

The NPI number for Lucille Vanderwoude is 1568075364. It was assigned to this individual provider in the NPPES registry on August 31, 2020. The provider is also known as Lucille Marie Yurko.

Q: What is Lucille Vanderwoude's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since August 31, 2020PECOS EnrolledAccepts Medicare Assignment

2100 RAYBROOK ST SE STE 100, GRAND RAPIDS, MI 49546(616) 235-5101 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2023, Aug 31, 2020 (2 updates tracked since 2020).

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About Lucille Yurko Vanderwoude Dnp NPPES

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

LUCILLE YURKO VANDERWOUDE DNP (NPI 1568075364) is an individual gerontology provider in Grand Rapids, Michigan, licensed in Michigan (4704318801) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568075364

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameLUCILLE YURKO VANDERWOUDECredential: DNP

Location Address2100 RAYBROOK ST SE STE 100Grand Rapids, MI 49546-5782

Mailing Address8214 Pfeiffer Farms Dr SwByron Center, MI 49315-8288

Phone(616) 235-5101

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 31, 2020

Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2023

✔ NPI 1568075364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LG0600X

License✔ Licensed in MI · 4704318801

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704318801 (MI)

2100 RAYBROOK ST SE STE 100, Grand Rapids, MI 49546

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Other Names 1

Former Name (1)Lucille Marie Yurko

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, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lucille Yurko Vanderwoude Dnp 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.

PECOS PAC ID7810381894

PECOS Enrollment IDI20220309000279

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

35 services12 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

30 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230236

Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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 6

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

HALEY WATERMAN LMSW

Social Worker (Clinical)