JENIFER JOY VANWYNGARDEN LBSW, RN, DNP
NPI 1912270349
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MI

Q: What is Jenifer Vanwyngarden's NPI number?

The NPI number for Jenifer Vanwyngarden is 1912270349. It was assigned to this individual provider in the NPPES registry on February 15, 2012.

Q: What is Jenifer Vanwyngarden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 15, 2012PECOS EnrolledAccepts Medicare Assignment

1131 IONIA AVE NW, GRAND RAPIDS, MI 49503(616) 425-1585 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jenifer Joy Vanwyngarden Lbsw, Rn, Dnp NPPES

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

JENIFER JOY VANWYNGARDEN LBSW, RN, DNP (NPI 1912270349) is an individual psychiatric/mental health provider in Grand Rapids, Michigan, licensed in Michigan (4704394880) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912270349

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENIFER JOY VANWYNGARDENCredential: LBSW, RN, DNP

Location Address1131 IONIA AVE NWGrand Rapids, MI 49503-1020

Mailing Address1131 Ionia Ave NwGrand Rapids, MI 49503-1020 · (616) 425-1585

Phone(616) 425-1585

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 15, 2012

Last NPPES UpdateFebruary 27, 2026

NPPES CertifiedFebruary 27, 2026

✔ NPI 1912270349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MI · 4704394880

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6802085599 (MI)

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704394880 (MI)

1131 IONIA AVE NW, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jenifer Joy Vanwyngarden Lbsw, Rn, Dnp 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 ID1658867635

PECOS Enrollment IDI20251229002974

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.

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.

PAUL DIELEMAN PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)