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MARIELLE VANDERVENNEN MD
NPI 1194252676
Pediatrics in Grand Rapids, MI

Active since May 16, 2017
4288 3 MILE RD NW STE 1, GRAND RAPIDS, MI 49534(616) 458-3677 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2024, May 3, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Marielle Vandervennen Md NPPES

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

MARIELLE VANDERVENNEN MD (NPI 1194252676) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301111845) and active in the NPI registry since May 2017. She maintains a secondary practice location in Wyoming.

NPPES Registry Identity

NPI1194252676
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARIELLE VANDERVENNENCredential: MD
Location Address4288 3 MILE RD NW STE 1Grand Rapids, MI 49534-7596
Mailing Address4288 3 Mile Rd Nw Ste 1Grand Rapids, MI 49534-7596 · (616) 458-3677
Phone(616) 458-3677
Sole ProprietorYes
Enumeration DateMay 16, 2017
Last NPPES UpdateApril 2, 20244 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1194252676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301111845
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4288 3 MILE RD NW STE 1, Grand Rapids, MI 49534
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Secondary Practice Location 1

Location 14174 56th St SWWyoming, MI 49418-2899 · Phone (616) 458-3677

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPENCER ADAMS
Pediatrics
4288 3 MILE RD NW STE 1
GRAND RAPIDS, MI 49534
Ottawa County (616) 458-3677

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 Marielle Vandervennen's NPI number?

The NPI number for Marielle Vandervennen is 1194252676. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Marielle Vandervennen located?

Marielle Vandervennen practices at 4288 3 Mile Rd NW Ste 1, Grand Rapids, MI 49534. The listed phone number is (616) 458-3677.

What is Marielle Vandervennen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Marielle Vandervennen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Marielle Vandervennen 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 Marielle Vandervennen was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.