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ALLENDALE FAMILY PRACTICE
NPI 1386633675
Family Medicine in Allendale, MI

Active since October 19, 2005CLIA 23D1034338 · Microscopy
11160 WJ PRESLEY PKWY STE 101, ALLENDALE, MI 49401(616) 895-2000(616) 895-2009 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Oct 8, 2020 (2 updates tracked since 2020).

About Allendale Family Practice NPPES

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

ALLENDALE FAMILY PRACTICE (NPI 1386633675) is a healthcare organization registered as a family medicine in Allendale, Michigan and active in the NPI registry since October 2005. The organization holds a CLIA Microscopy certificate valid through July 13, 2027 and lists Brenda Smock, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1386633675
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLENDALE FAMILY PRACTICE
Location Address11160 WJ PRESLEY PKWY STE 101Allendale, MI 49401-8075
Mailing Address11160 Wj Presley Pkwy Ste 101Allendale, MI 49401-8075 · (616) 895-2000 · Fax (616) 895-2009
Phone(616) 895-2000
Fax(616) 895-2009
Organization SubpartNo
Authorized OfficialBrenda SmockBilling Manager · (616) 895-2000
Enumeration DateOctober 19, 2005
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1386633675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11160 WJ PRESLEY PKWY STE 101, Allendale, MI 49401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D1034338

Allendale Family Practice · Allendale, MI
Active · expires Jul 13, 2027
CLIA Number23D1034338
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorSteven J. Verkaik
Laboratory Phone(616) 895-2000
Laboratory LocationAllendale Family Practice11315 Edgewater Drive, Allendale, MI 49401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

MATTHEW PHILIP BOYD M.D.
Family Medicine
11160 WJ PRESLEY PKWY STE 101
ALLENDALE, MI 49401
Ottawa County (616) 895-2000
TAYLOR RAE VOS PA-C
Physician Assistant
11160 WJ PRESLEY PKWY STE 101
ALLENDALE, MI 49401
Ottawa County (616) 895-2000

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 Allendale Family Practice's NPI number?

The NPI number for Allendale Family Practice is 1386633675. It was assigned to this organization in the NPPES registry on October 19, 2005.

Where is Allendale Family Practice located?

Allendale Family Practice is located at 11160 Wj Presley Pkwy Ste 101, Allendale, MI 49401. The listed phone number is (616) 895-2000.

What is Allendale Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Allendale Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D1034338) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Allendale Family Practice accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Allendale Family Practice 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 Allendale Family Practice was last updated on June 13, 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.