DR. JOEL NATHAN PHILLIPS D.O.
NPI 1639462039
Psychiatry & Neurology - Neurology in Grand Rapids, MI

Active since May 18, 2011PECOS EnrolledAccepts Medicare Assignment
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 685-5231(616) 685-5260 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2021, Sep 1, 2016, Feb 3, 2016 (3 updates tracked since 2016).

About Dr. Joel Nathan Phillips D.o. NPPES

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

DR. JOEL NATHAN PHILLIPS D.O. (NPI 1639462039) is an individual neurology provider in Grand Rapids, Michigan, licensed in Michigan (5101019354) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639462039
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JOEL NATHAN PHILLIPSCredential: D.O.
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing Address1900 44th St SeKentwood, MI 49508-5008 · (616) 685-1808 · Fax (616) 685-8099
Fax(616) 685-5260
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 18, 2011
Last NPPES UpdateDecember 13, 20213 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1639462039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · 5101019354
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 5101019354 (MI)
200 JEFFERSON AVE SE, Grand Rapids, MI 49503

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

Dr. Joel Nathan Phillips D.o. 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 ID8921230699
PECOS Enrollment IDI20160809000944
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 Joel Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
200 JEFFERSON SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
Family Medicine
1309 SHELDON RD
Grand Haven, MI 49417
  • Reassigned Medicare billing, Michigan enrollment
  • 28 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.

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services34 patients
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.
39 services33 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
6 suppliers35 claims35 services$912.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Registered Nurse
200 JEFFERSON AVE SE
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 Joel Phillips's NPI number?

The NPI number for Joel Phillips is 1639462039. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Joel Phillips located?

Joel Phillips practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-5231.

What is Joel Phillips's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Joel Phillips enrolled in Medicare?

Yes. Joel Phillips 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 Joel Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Phillips reassigns Medicare benefits to 2 organizations: Advantage Health Saint Mary's Medical Group (Grand Rapids, MI) and Noch Physician Billing Company LLC (Grand Haven, 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 Joel Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Phillips 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 Joel Phillips 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.

Is Joel Phillips affiliated with any hospitals?

According to CMS data, Joel Phillips is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Joel Phillips was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.