DR. RONDA LYNN VANDERWALL (DC) – Chiropractor, NPI 1720107915

DR. RONDA LYNN VANDERWALL (DC) is a healthcare provider. based in Grandville, Michigan. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 2301009329 (MI). The NPI Number for DR. RONDA LYNN VANDERWALL (DC) is 1720107915

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONDA LYNN VANDERWALL (DC)
NPI
1720107915
Phone
(616) 531-6050
Address
4072 CHICAGO DR SW
Enumeration Date
28 March 2007
Last Update Date
14 March 2016

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Secondary Phone
6165316050
Graduation Year
2007 (19 years ago)
PAC ID
3476648999
Professional Enrollment ID
I20070928000294
Address ID
MI494181291GR4072XSWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,869 CHIROPRACTIC in MI

Provider Addresses for DR. RONDA LYNN VANDERWALL (DC)

  • 4072 CHICAGO DR SW

    GRANDVILLE, MI 494181291

    Phone: (616) 531-6050

    Fax: (616) 531-6053

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070928000294IChiropracticMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions20212$0
View full utilization report →

Insurance plans in this area (ZIP 49418)

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Reviews

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Frequently asked questions

How do I look up DR. RONDA LYNN VANDERWALL (DC) by NPI?
Use NPI 1720107915 when you need to reference DR. RONDA LYNN VANDERWALL (DC) in forms, claims, or directories.
Is DR. RONDA LYNN VANDERWALL (DC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. RONDA LYNN VANDERWALL (DC) treat or focus on?
Patients typically see DR. RONDA LYNN VANDERWALL (DC) under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
Does DR. RONDA LYNN VANDERWALL (DC) practice in Michigan?
You will see Grandville, Michigan on file for DR. RONDA LYNN VANDERWALL (DC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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