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DR. ANDREA EMMA VAN PELT M.D.
NPI 1285756148
Surgery - Plastic and Reconstructive Surgery in Grand Rapids, MI

Active since April 04, 2007PECOS Enrolled
86.44/100
CMS Quality Rating
4070 LAKE DRIVE SE, SUITE 202, GRAND RAPIDS, MI 49546(616) 464-4420(616) 464-4354 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrea Emma Van Pelt M.d. NPPES

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

DR. ANDREA EMMA VAN PELT M.D. (NPI 1285756148) is an individual plastic and reconstructive surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301095522) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285756148
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameDR. ANDREA EMMA VAN PELTCredential: M.D.
Location Address4070 LAKE DRIVE SE, SUITE 202Grand Rapids, MI 49546
Mailing Address4070 Lake Drive Se Suite 202, Center For Breast & Body ContouringGrand Rapids, MI 49546 · (616) 464-4420 · Fax (646) 464-4354
Phone(616) 464-4420
Fax(616) 464-4354
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateMarch 6, 2013
✔ NPI 1285756148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MI · 4301095522
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4070 LAKE DRIVE SE, Grand Rapids, MI 49546
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea Emma Van Pelt M.d. 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 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.

86.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.93
Promoting Interoperability100
Improvement Activities40
Cost41.91

Other Providers at the Same Location NPPES

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

AUDREY MITCHELL, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4070 LAKE DRIVE SE, SUITE 101
GRAND RAPIDS, MI 49546
Kent County (616) 426-9869

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 Andrea Van Pelt's NPI number?

The NPI number for Andrea Van Pelt is 1285756148. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Andrea Van Pelt located?

Andrea Van Pelt practices at 4070 Lake Drive SE Suite 202, Grand Rapids, MI 49546. The listed phone number is (616) 464-4420.

What is Andrea Van Pelt's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Andrea Van Pelt enrolled in Medicare?

Yes. Andrea Van Pelt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Van Pelt was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.