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DR. TYLER JEFFREY VANDERWAL DC
NPI 1669972188
Chiropractor in Caledonia, MI

Active since February 21, 2018Accepts Medicare Assignment
649 EMMONS ST SE, CALEDONIA, MI 49316(616) 891-8153(616) 891-8153 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tyler Jeffrey Vanderwal Dc NPPES

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

DR. TYLER JEFFREY VANDERWAL DC (NPI 1669972188) is an individual chiropractor in Caledonia, Michigan, licensed in Michigan (2301010630) and active in the NPI registry since February 2018. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1669972188
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLER JEFFREY VANDERWALCredential: DC
Location Address649 EMMONS ST SECaledonia, MI 49316-8316
Mailing Address2061 Ridgecrest Rd Se Apt 6Grand Rapids, MI 49546-4373 · (616) 350-7313
Phone(616) 891-8153
Fax(616) 891-8153
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 21, 2018
✔ NPI 1669972188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301010630
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
649 EMMONS ST SE, Caledonia, MI 49316
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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, 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 and accepts Medicare assignment

Dr. Tyler Jeffrey Vanderwal Dc 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 ID3072844638
PECOS Enrollment IDI20191011001673

Medicare Billing Reassignments

2

Medicare enrollment records show Tyler Vanderwal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seif Chiropractic PC
0.6 mi
Chiropractor
9090 S RODGERS CT SE
Caledonia, MI 49316
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1427192079 (616) 891-8153
Chiropractic Health Center Of Rockford
20 mi
Chiropractor
6769 COURTLAND DR NE STE 100
Rockford, MI 49341
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1710042999 (616) 433-6857

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

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
262 services40 patients

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 Tyler Vanderwal's NPI number?

The NPI number for Tyler Vanderwal is 1669972188. It was assigned to this individual provider in the NPPES registry on February 21, 2018.

Where is Tyler Vanderwal located?

Tyler Vanderwal practices at 649 Emmons St SE, Caledonia, MI 49316. The listed phone number is (616) 891-8153.

What is Tyler Vanderwal's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Tyler Vanderwal enrolled in Medicare?

Yes. Tyler Vanderwal 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 Tyler Vanderwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Vanderwal reassigns Medicare benefits to 2 organizations: Seif Chiropractic PC (Caledonia, MI) and Chiropractic Health Center Of Rockford (Rockford, 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 Tyler Vanderwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Vanderwal accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Tyler Vanderwal 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 Tyler Vanderwal was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.