KALEY J WONDERGEM LMSW
NPI 1811423015
Social Worker - Clinical in Grand Rapids, MI
About Kaley J Wondergem Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALEY J WONDERGEM LMSW (NPI 1811423015) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801121907) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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
Kaley J Wondergem Lmsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Kaley Wondergem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 261 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 49548 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kaley Wondergem's NPI number?
The NPI number for Kaley Wondergem is 1811423015. It was assigned to this individual provider in the NPPES registry on May 8, 2017. The provider is also known as Kaley Waalkes.
Where is Kaley Wondergem located?
Kaley Wondergem practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.
What is Kaley Wondergem's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kaley Wondergem enrolled in Medicare?
Yes. Kaley Wondergem 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 organization bills Medicare for Kaley Wondergem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaley Wondergem reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, 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 Kaley Wondergem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaley Wondergem accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Kaley Wondergem 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 Kaley Wondergem was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Kaley J Wondergem, LMSW · NPI 1811423015
Clinical provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since May 8, 2017.
## Identity
- **NPI:** 1811423015 (Entity type: Individual)
- **Enumerated:** May 8, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801121907 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 68TH ST SE, Grand Rapids, MI 49548-6927
- **Phone:** (616) 455-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pine Rest Christian Mental Health Services (NPI 1922019157, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811423015) · Data from the CMS NPPES public registry.