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SANDRA VERLAY WILFORE FNP-C
NPI 1871170928
Nurse Practitioner - Family in Grand Rapids, MI

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
770 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 272-3533(616) 259-4839 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2025, May 12, 2025, Mar 25, 2021 (3 updates tracked since 2021).

About Sandra Verlay Wilfore Fnp-c NPPES

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

SANDRA VERLAY WILFORE FNP-C (NPI 1871170928) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704314097) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871170928
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA VERLAY WILFORECredential: FNP-C
Location Address770 KENMOOR AVE SE STE 100Grand Rapids, MI 49546-8602
Mailing Address801 Rosehill RdJackson, MI 49202-1762 · (517) 212-2008 · Fax (517) 212-9000
Phone(616) 272-3533
Fax(616) 259-4839
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 25, 2021
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1871170928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704314097
770 KENMOOR AVE SE STE 100, Grand Rapids, MI 49546
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Sandra Verlay Wilfore Fnp-c 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 ID4385041698
PECOS Enrollment IDI20210928003470
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

4

Medicare enrollment records show Sandra Wilfore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northview Health Specialists, PLLC
Same address
Family Medicine
770 KENMOOR AVE SE STE 100
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 72 clinicians in this Medicare group
NPI 1629558978 (616) 272-3533
Careline Palliative Care LLC
76 mi
Hospice and Palliative Medicine
801 ROSEHILL RD
Jackson, MI 49202
  • Reassigned Medicare billing, Michigan enrollment
  • 73 clinicians in this Medicare group
NPI 1801367073 (517) 212-2008
Northview Medical House Calls Plc
88 mi
Family Medicine
4760 FASHION SQUARE BLVD STE L-1
Saginaw, MI 48604
  • Reassigned Medicare billing, Michigan enrollment
  • 82 clinicians in this Medicare group
NPI 1336447002 (517) 212-9000
Provider Partners Care Management LP
524 mi
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Michigan enrollment
  • 52 clinicians in this Medicare group
NPI 1013348028 (443) 275-9800

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 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services71 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
27 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

GAVIN O'BRIEN
Physician Assistant
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
MRS. SARAH A THOMSEN FNP
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
BRITTANY J DEVRIES AGNP
Nurse Practitioner (Adult Health)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
ERIN KUCHAREK A-GNP-C
Nurse Practitioner (Primary Care)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (517) 212-2008
EMINA CELOVIC DNP
Nurse Practitioner (Adult Health)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
SAMUEL TERRANOVA NP
Nurse Practitioner (Primary Care)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
WILLIAM H DUKES MD
Family Medicine
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
MR. JEREMY RICHARD HERR MS, FNP, APNP
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533

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 Sandra Wilfore's NPI number?

The NPI number for Sandra Wilfore is 1871170928. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Sandra Wilfore located?

Sandra Wilfore practices at 770 Kenmoor Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 272-3533.

What is Sandra Wilfore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sandra Wilfore enrolled in Medicare?

Yes. Sandra Wilfore 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 Sandra Wilfore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Wilfore reassigns Medicare benefits to 4 organizations: Northview Health Specialists, PLLC (Grand Rapids, MI), Careline Palliative Care LLC (Jackson, MI), Northview Medical House Calls Plc (Saginaw, MI) and Provider Partners Care Management LP (Columbia, MD). 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 Sandra Wilfore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Wilfore 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 Sandra Wilfore 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 Sandra Wilfore affiliated with any hospitals?

According to CMS data, Sandra Wilfore is affiliated with Spectrum Health United Hospital, Spectrum Health and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Sandra Wilfore was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.