1. Home
  2. Directory
  3. Florida
  4. North Miami Beach
  5. Physician Assistant
  6. NPI Profile

MR. JAMES WILLIAM VANFOSSEN JR. PA
NPI 1720092943
Physician Assistant in North Miami Beach, FL

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169(305) 651-1100 Get Directions Write a Review

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

Record update history: May 13, 2024, Feb 15, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Mr. James William Vanfossen Jr. Pa NPPES

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

MR. JAMES WILLIAM VANFOSSEN JR. PA (NPI 1720092943) is an individual physician assistant in North Miami Beach, Florida, licensed in Florida (PA9118780) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1720092943
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JAMES WILLIAM VANFOSSEN JR.Credential: PA
Location Address160 NW 170TH STNorth Miami Beach, FL 33169-5576
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(305) 651-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 27, 2006
Last NPPES UpdateMay 13, 20245 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1720092943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA9118780✔ Licensed in AR · PA-1273✔ Licensed in MI · 5601002945
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
160 NW 170TH ST, North Miami Beach, FL 33169
Open in Google Maps ↗

Secondary Practice Locations 6

Location 11465 E Parkdale AveManistee, MI 49660-9709 · Phone (231) 398-1000
Location 21001 Towson AveFort Smith, AR 72901-4921 · Phone (479) 441-4000
Location 3605 Oak StBig Rapids, MI 49307-2048 · Phone (616) 391-3139 · Fax (616) 391-3044
Location 4800 Biesterfield RdElk Grove Village, IL 60007-3361 · Phone (847) 437-5500
Location 577 N Airlite StElgin, IL 60123-4912 · Phone (847) 695-3200
Location 62233 W Division StChicago, IL 60622-8151 · Phone (312) 770-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Mr. James William Vanfossen Jr. Pa 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 ID1153519624
PECOS Enrollment IDI20101228000372
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.

Hospital Affiliations CMS Care Compare 2

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33169 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

DR. SIDDHARTH PANDYA DO
Radiology (Neuroradiology)
160 NW 170TH ST
NORTH MIAMI BEACH, FL 33169
Miami-Dade County (941) 355-9800
MS. PRATIMA SUBEDI MD
Internal Medicine
160 NW 170TH ST
NORTH MIAMI BEACH, FL 33169
Miami-Dade County (305) 651-1100
MS. MIRELA DANAJ APRN
Nurse Practitioner
160 NW 170TH ST
NORTH MIAMI BEACH, FL 33169
Miami-Dade County (786) 466-7156
ESTEBAN MIRANDA MD
Internal Medicine
160 NW 170TH ST
NORTH MIAMI BEACH, FL 33169
Miami-Dade County (305) 651-1100
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Psychiatric Unit
160 NW 170TH ST
NORTH MIAMI BEACH, FL 33169
Miami-Dade County (305) 585-8957
AUDREA OLIVIA VAUGHAN D.O.
Family Medicine
160 NW 170TH ST
NORTH MIAMI BEACH, FL 33169
Miami-Dade County (305) 651-1100
IRENE A. AHORLU CRNA
Nurse Anesthetist, Certified Registered
160 NW 170TH ST
NORTH MIAMI BEACH, FL 33169
Miami-Dade County (305) 651-1100
MS. ZAHAVA ZAVUROV DO
Internal Medicine
160 NW 170TH ST
NORTH MIAMI BEACH, FL 33169
Miami-Dade County (305) 651-1100

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 James Vanfossen's NPI number?

The NPI number for James Vanfossen is 1720092943. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is James Vanfossen located?

James Vanfossen practices at 160 NW 170th St, North Miami Beach, FL 33169. The listed phone number is (305) 651-1100.

What is James Vanfossen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Vanfossen enrolled in Medicare?

Yes. James Vanfossen 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 James Vanfossen accept?

Health plans from Priority Health list James Vanfossen 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 James Vanfossen affiliated with any hospitals?

According to CMS data, James Vanfossen is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for James Vanfossen was last updated on May 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.