1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Pediatrics
  6. NPI Profile

JESSE G VAN HEUKELOM M.D.
NPI 1669783130
Pediatrics in Grand Rapids, MI

Active since June 29, 2010PECOS Enrolled
100 MICHIGAN ST NE, MC#13, GRAND RAPIDS, MI 49503(616) 391-9377 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jesse G Van Heukelom M.d. NPPES

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

JESSE G VAN HEUKELOM M.D. (NPI 1669783130) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301096913) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669783130
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJESSE G VAN HEUKELOMCredential: M.D.
Location Address100 MICHIGAN ST NE, MC#13Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne, Mc#13Grand Rapids, MI 49503-2560 · (616) 391-9377
Phone(616) 391-9377
Sole ProprietorYes
Enumeration DateJune 29, 2010
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedSeptember 28, 2020
✔ NPI 1669783130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301096913
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 MICHIGAN ST NE, Grand Rapids, MI 49503
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, 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)

Jesse G Van Heukelom 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 Reassignment

Medicare enrollment records show Jesse Van Heukelom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bronson Methodist Hospital
47 mi
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654

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
$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 20

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

MAUREEN TAN PEDRES M.D.
Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
MATTHEW H ARMSTRONG MD
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
ALINE DE QUADROS TEIXEIRA MD
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
DR. LINDSEY DANIELLE CONRADO PT, DPT
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (161) 639-1177
DANIEL H. ROBINSON D.O.
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
MARK GREENWOOD DO
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Kent County (616) 391-5310
RAYMOND SCUREK MD
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1680
MRS. RACHEL LEIGH VANSTRIEN PA-C
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503
Kent County (616) 391-0800

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 Jesse Van Heukelom's NPI number?

The NPI number for Jesse Van Heukelom is 1669783130. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Jesse Van Heukelom located?

Jesse Van Heukelom practices at 100 Michigan St NE Mc#13, Grand Rapids, MI 49503. The listed phone number is (616) 391-9377.

What is Jesse Van Heukelom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jesse Van Heukelom enrolled in Medicare?

Yes. Jesse Van Heukelom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jesse Van Heukelom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Van Heukelom reassigns Medicare benefits to Bronson Methodist Hospital (Kalamazoo, MI). The 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 Jesse Van Heukelom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Van Heukelom accept?

Health plans from Avera Health Plans and Priority Health list Jesse Van Heukelom 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 Jesse Van Heukelom was last updated on November 27, 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.