KATHLEEN SUE VAN TIL NP
NPI 1710224019
Nurse Practitioner - Family in Holland, MI

Active since January 08, 2013PECOS EnrolledAccepts Medicare Assignment
588 E LAKEWOOD BLVD, HOLLAND, MI 49424(616) 494-5810(616) 494-5901 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Sue Van Til Np NPPES

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

KATHLEEN SUE VAN TIL NP (NPI 1710224019) is an individual family provider in Holland, Michigan, licensed in Michigan (4704151536) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1710224019
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN SUE VAN TILCredential: NP
Location Address588 E LAKEWOOD BLVDHolland, MI 49424-2023
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560
Fax(616) 494-5901
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 8, 2013
Last NPPES UpdateFebruary 15, 2021
NPPES CertifiedFebruary 15, 2021
NPI 1710224019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704151536
588 E LAKEWOOD BLVD, Holland, MI 49424

Accepted 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

Kathleen Sue Van Til Np 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 ID8123272747
PECOS Enrollment IDI20130207000367
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 5

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.
56 services42 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.
44 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230003
Location8333 Felch StZeeland, MI 49464 · Ottawa County
Emergency services Birthing friendly

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

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49424 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier15 claims15 services$197.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Family Medicine
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Obstetrics & Gynecology
588 E LAKEWOOD BLVD, 2ND FLOOR
HOLLAND, MI 49424
Physician Assistant
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Pediatrics
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Internal Medicine
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Pediatrics
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Internal Medicine (Cardiovascular Disease)
588 E LAKEWOOD BLVD
HOLLAND, MI 49424

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 Kathleen Van Til's NPI number?

The NPI number for Kathleen Van Til is 1710224019. It was assigned to this individual provider in the NPPES registry on January 8, 2013.

Where is Kathleen Van Til located?

Kathleen Van Til practices at 588 E Lakewood Blvd, Holland, MI 49424. The listed phone number is (616) 494-5810.

What is Kathleen Van Til's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Van Til enrolled in Medicare?

Yes. Kathleen Van Til is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Van Til accept?

Health plans from Priority Health list Kathleen Van Til 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.

Is Kathleen Van Til affiliated with any hospitals?

According to CMS data, Kathleen Van Til is affiliated with Corewell Health Zeeland Hospital, Spectrum Health and Holland Community Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Van Til was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.