KELSIE R SAKUTA LMSW
NPI 1972968527
Social Worker in Grand Rapids, MI

Active since December 28, 2015PECOS Enrolled
100/100
CMS Quality Rating
4069 LAKE DR SE, GRAND RAPIDS, MI 49546(616) 267-7499 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 18, 2023, Dec 7, 2017, Dec 28, 2015 (3 updates tracked since 2015).

About Kelsie R Sakuta Lmsw NPPES

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

KELSIE R SAKUTA LMSW (NPI 1972968527) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801096030) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972968527
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELSIE R SAKUTACredential: LMSW
Location Address4069 LAKE DR SEGrand Rapids, MI 49546-8816
Mailing Address100 Michigan Street Ne Mc 845Grand Rapids, MI 49503
Sole ProprietorNo
Enumeration DateDecember 28, 2015
Last NPPES UpdateJanuary 18, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1972968527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801096030
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
4069 LAKE DR SE, Grand Rapids, MI 49546

Other Names 1

Former Name (1)Kelsie Middleton Lmsw

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsie R Sakuta Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Kelsie Sakuta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dietitian, Registered
4069 LAKE DR SE, STE. 315
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
Rural Health
1202 W OAK ST
Greenville, MI 48838
  • Reassigned Medicare billing, Michigan enrollment
  • 242 clinicians in this Medicare group
Orthopaedic Surgery
840 COOK RD
Hastings, MI 49058
  • Reassigned Medicare billing, Michigan enrollment
  • 184 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.

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.

Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Surgery (Vascular Surgery)
4069 LAKE DR SE, S-312
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Dietitian, Registered
4069 LAKE DR SE, STE. 315
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Family Medicine
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546

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 Kelsie Sakuta's NPI number?

The NPI number for Kelsie Sakuta is 1972968527. It was assigned to this individual provider in the NPPES registry on December 28, 2015. The provider is also known as Kelsie Middleton Lmsw.

Where is Kelsie Sakuta located?

Kelsie Sakuta practices at 4069 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 267-7499.

What is Kelsie Sakuta's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kelsie Sakuta enrolled in Medicare?

Yes. Kelsie Sakuta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelsie Sakuta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsie Sakuta reassigns Medicare benefits to 3 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Spectrum Health United (Greenville, MI) and Pennock Hospital (Hastings, 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 Kelsie Sakuta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsie Sakuta accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kelsie Sakuta 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 Kelsie Sakuta was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.