MICHELLE L. VANDENTOORN
NPI 1396196440
Nurse Practitioner - Gerontology in Grand Rapids, MI

Q: What is Michelle Vandentoorn's NPI number?

The NPI number for Michelle Vandentoorn is 1396196440. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Q: What is Michelle Vandentoorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since June 29, 2016PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7104(616) 267-7594 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2024, Feb 16, 2021, Sep 22, 2016 and 1 more (4 updates tracked since 2016).

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About Michelle L. Vandentoorn NPPES

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

MICHELLE L. VANDENTOORN (NPI 1396196440) is an individual gerontology provider in Grand Rapids, Michigan, licensed in Michigan (4704278133) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1396196440

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMICHELLE L. VANDENTOORN

Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790 · Fax (616) 486-6702

Phone(616) 267-7104

Fax(616) 267-7594

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 29, 2016

Last NPPES UpdateDecember 9, 20244 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1396196440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MI · 4704278133

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704278133 (MI)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704278133 (MI)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704278133 (MI)

Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 4704278133 (MI)

275 MICHIGAN ST NE, Grand Rapids, MI 49503

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Secondary Practice Location 1

Location 12750 E Beltline Ave NEGrand Rapids, MI 49525-8614 · Phone (616) 267-7104 · Fax (616) 267-7595

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle L. Vandentoorn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698062818

PECOS Enrollment IDI20160930002043

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

69 services58 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

43 services39 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

43 services40 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

PHILLIP RICHTER PARAS M.D.

Pediatrics