Medicare Doctors and Clinicians
6162223700 · Clinical Psychologist · 4211 Pkwy Place Sw, Pne Rest Southwest Clinic, Grandville, MI 49418-2385
Overview
Luke A Vander Wal is a clinical psychologist enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is PINE REST CHRISTIAN MENTAL HEALTH SERVICES. The business address is 4211 Pkwy Place Sw, Pne Rest Southwest Clinic, Grandville, MI 49418-2385. Published on November 2, 2023.
Enrollment Information
| NPI | 1467075176 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
| PAC ID | 1951757525 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20231102001863 |
| Full Name | LUKE A VANDER WAL |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Organization Legal Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Group Practice PAC ID | 4981506508 |
| Number of Group Practice Members | 303 |
| Address | 4211 Pkwy Place Sw Pne Rest Southwest Clinic Grandville MI 49418-2385 |
| Telephone | 6162223700 |
| Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
| Group Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Provider Overview
| NPI | 1467075176 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
| Provider Name | LUKE VANDER WAL |
| Address | 4211 Parkway Place Dr Sw Grandville MI 49418-2695 |
| Taxonomy Code | 103TC0700X |
| Enumeration Date | 2020-05-28 |
Organization Information
| Organization Legal Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Address | 4211 Pkwy Place Sw Pne Rest Southwest Clinic Grandville MI 49418-2385 |
| Telephone | 6162223700 |
Doctors with the same organization
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Rachael M Kohler | Clinical Social Worker | Pine Rest Christian Mental Health Services | 1350 W Centre Ave, 210 Pine Rest Portage Clinic, Portage, MI 49024-5361 |
| Alexander C Daoud | Clinical Social Worker | Pine Rest Christian Mental Health Services | 1870 Leonard St Ne, Christian Counseling Center Ministry of Pine Rest, Grand Rapids, MI 49505-5650 |
| Abby A Phillips | Clinical Social Worker | Pine Rest Christian Mental Health Services | 6505 Cherry Meadow Dr Se, Pine Rest Caledonia Clinic, Caledonia, MI 49316-9484 |
| Erin Nichole Byker | Clinical Social Worker | Pine Rest Christian Mental Health Services | 926 Washington Ave, Suite 210, Holland, MI 49423-7725 |
| Sabrina Rene Haverdink | Clinical Social Worker | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Dr Sw, Grandville, MI 49418-2695 |
| Jacob B Nienhuis | Clinical Psychologist | Pine Rest Christian Mental Health Services | 1870 Leonard Ne, Pine Rest Christian Counseling Center, Grand Rapids, MI 49505-5650 |
| Samantha Binns | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Bradley J Robinson | Clinical Social Worker | Pine Rest Christian Mental Health Services | 450 Meadow Run Dr, Hastings, MI 49058-9053 |
| Morgan K Bertrand | Nurse Practitioner | Pine Rest Christian Mental Health Services | 2118 3 Mile Nwrd, Grand Rapids, MI 49544-1425 |
| Michael Joseph Parker | Nurse Practitioner | Pine Rest Christian Mental Health Services | 320 Commerce Sw Ave, Grand Rapids, MI 49503-4101 |
| Find all doctors with the same organization | |||
Location Information
| Street Address | 4211 PKWY PLACE SW PNE REST SOUTHWEST CLINIC |
| City | GRANDVILLE |
| State | MI |
| Zip Code | 49418-2385 |
Doctors in the same location
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Joshua P Matlack | Clinical Psychologist | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Sw, Pne Rest Southwest Clinic, Grandville, MI 49418-2385 |
| Tiana Ekhande | Psychiatry | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Sw, Grandville, MI 49418-2385 |
| Jamie L Wieber | Clinical Psychologist | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Sw, Pne Rest Southwest Clinic, Grandville, MI 49418-2385 |
| Kelly S Boprie | Clinical Social Worker | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Swdr, Grandville, MI 49418-2695 |
| James H Vandermay | Clinical Social Worker | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Swdr, Grandville, MI 49418-2695 |
| Ryan J Yoon | Psychiatry | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Sw, Grandville, MI 49418-2385 |
| Carolyn S Koppenol | Psychiatry | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Sw, Grandville, MI 49418-2385 |
| Marilyn R Burkhart | Clinical Social Worker | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Swdr, Grandville, MI 49418-2695 |
| Benjamin E Burns | Psychiatry | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Sw, Grandville, MI 49418-2385 |
| Lisa L Schirmer | Clinical Psychologist | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Sw, Pne Rest Southwest Clinic, Grandville, MI 49418-2385 |
| Find all doctors in the same location | |||
Doctors in the same zip code
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Ashley E Lenar | Physician Assistant | Metropolitan Hospital | 4285 Pkwy Place Dr Sw, Metro Health Grandville, Grandville, MI 49418-2385 |
| Tandy L Champion | Internal Medicine | Metropolitan Hospital | 4285 Pkwy Place Dr Sw, Metro Health Grandville, Grandville, MI 49418-2385 |
| Haley Zimmer | Internal Medicine | Metropolitan Hospital | 4285 Pkwy Place Dr Sw, Metro Health Grandville, Grandville, MI 49418-2385 |
| Melissa L Mashni | Family Practice | Metropolitan Hospital | 4285 Pkwy Place Dr Sw, Metro Health Grandville, Grandville, MI 49418-2385 |
Doctors in the same zip code
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Rebecca J Suggitt | Clinical Social Worker | 2905 Wilson Ave Sw, Suite 252, Grandville, MI 49418-1206 | |
| Megan J Ipema | Nurse Practitioner | Burke Group Counseling and Consulting Professionals LLC | 3790 28th St Sw, Alliance Counseling Group, Grandville, MI 49418-1390 |
| James W Burton | Optometry | Grandville Eye Care PC | 3100 Wilson Ave Sw, Grandville, MI 49418-1200 |
| Jeffrey Scott Carter | Physical Therapy | Apogee Therapy Center LLC | 3010 Wilson Ave Sw, Grandville, MI 49418-1242 |
| Rosanne Marie Pruis | Optometry | Holland Eye Clinic PC | 3100 Wilson Ave Sw, Suite 1, Grandville, MI 49418-1200 |
| James M Pouillon | Podiatry | 3050 Ivanrest Ave Sw, Suite E, Grandville, MI 49418-1400 | |
| Kelly Marie James | Optometry | Holland Eye Clinic PC | 3100 Wilson Ave Sw, Suite 1, Grandville, MI 49418-1200 |
| Danny D Wang | Ophthalmology | 3100 Wilson Ave Sw, Grandville, MI 49418-1200 | |
| Kathryn R Antor | Qualified Speech Language Pathologist | Apogee Therapy Center LLC | 3010 Wilson Ave Sw, Grandville, MI 49418-1242 |
| Maribeth A Bangert | Optometry | 4070 Chicago Dr Sw, Grandville Optical, Grandville, MI 49418-1258 | |
| Find all doctors in the same zip code | |||
Similar Physicians
Doctors with similar names
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Collin J Vander Pol | Clinical Social Worker | 81 Crown Mountain Pl, Unit A300, Dahlonega, GA 30533-1619 | |
| Emily A Vander Zee | Physician Assistant | Mayo Clinic - Florida | 4500 San Pablo S Rd, Jacksonville, FL 32224-1865 |
| Chad M Vander Zee | Physical Therapy | Illinois Bone and Joint Institute LLC | 4700 Gilbert Ave, Suite 51b, Western Springs, IL 60558-1753 |
| Regina E Vander | Clinical Social Worker | A Healing Intention LLC | 12655 Sw Ctr St, Suite 320, Beaverton, OR 97005-1624 |
| Nicholas J Vander Els | Pulmonary Disease | Msk Monmouth | 480 Red Hill Rd, Middletown, NJ 07748-3052 |
| Melissa L Vander Wal | Internal Medicine | Permanente Medical Group Inc | 975 Sereno Dr, Vallejo, CA 94589-2441 |
| Jon A Vander Maten | Physician Assistant | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Amanda G Vander Wal | Nurse Practitioner | Allina Health System | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Edo G Vander Kooy | Clinical Social Worker | 1825 Maple Rd, Suite 200, Williamsville, NY 14221-2723 | |
| Scott Vander Zee | Clinical Social Worker | 500 E Esplanade Dr, 1140 Family Counseling Associates, Oxnard, CA 93036-0558 |
Improve Information
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Dataset Information
This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Source | data.cms.gov |
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:
- The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
- Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
- Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
- performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
