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JAMES SWEET
NPI 1922568492
Nurse Practitioner - Family in Grand Rapids, MI

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
5715 CHRISTIE AVE SE, GRAND RAPIDS, MI 49508(616) 821-8811 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2024, Mar 21, 2019 (2 updates tracked since 2019).

About James Sweet NPPES

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

JAMES SWEET (NPI 1922568492) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704296628) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922568492
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES SWEET
Location Address5715 CHRISTIE AVE SEGrand Rapids, MI 49508-6236
Mailing Address5715 Christie Ave SeGrand Rapids, MI 49508-6236
Phone(616) 821-8811
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 21, 2019
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1922568492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704296628
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704296628 (MI)
5715 CHRISTIE AVE SE, Grand Rapids, MI 49508
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar 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

James Sweet 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 ID4284100686
PECOS Enrollment IDI20260414001636
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 James Sweet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mgh Family Health Center
39 mi
Federally Qualified Health Center (FQHC)
2201 S GETTY ST
Muskegon, MI 49444
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
NPI 1255331583 (231) 767-9806

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 49508 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.

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 James Sweet's NPI number?

The NPI number for James Sweet is 1922568492. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is James Sweet located?

James Sweet practices at 5715 Christie Ave SE, Grand Rapids, MI 49508. The listed phone number is (616) 821-8811.

What is James Sweet's specialty?

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

Is James Sweet enrolled in Medicare?

Yes. James Sweet 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 James Sweet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Sweet reassigns Medicare benefits to Mgh Family Health Center (Muskegon, 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 James Sweet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Sweet accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list James Sweet 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 James Sweet was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.