MICHAEL JACOBUS VAN GELDER M.S., M.N., PMHNP
NPI 1841480761
Nurse Practitioner - Psychiatric/Mental Health in Spokane, WA

Q: What is Michael Van Gelder's NPI number?

The NPI number for Michael Van Gelder is 1841480761. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Q: What is Michael Van Gelder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Michael Van Gelder enrolled in Medicare?

No. Michael Van Gelder has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since July 26, 2007Opted out of Medicare · through Jan 1, 2028

9631 N NEVADA ST STE 209, SPOKANE, WA 99218(509) 591-9007 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2022, Dec 17, 2018, Feb 5, 2016 (3 updates tracked since 2016).

On this page

About Michael Jacobus Van Gelder M.s., M.n., Pmhnp NPPES

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

MICHAEL JACOBUS VAN GELDER M.S., M.N., PMHNP (NPI 1841480761) is an individual psychiatric/mental health provider in Spokane, Washington, licensed in Washington (AP60319975) and active in the NPI registry since July 2007. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1841480761

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMICHAEL JACOBUS VAN GELDERCredential: M.S., M.N., PMHNP

Location Address9631 N NEVADA ST STE 209Spokane, WA 99218-1197

Mailing Address9631 N Nevada St Ste 209Spokane, WA 99218-1197 · (509) 591-9007 · Fax (509) 593-4676

Phone(509) 591-9007

Sole ProprietorNo

Enumeration DateJuly 26, 2007

Last NPPES UpdateSeptember 2, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2022

✔ NPI 1841480761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in WA · AP60319975✔ Licensed in OR · 201250114NP

Also ListedCounselorTaxonomy 101Y00000X · License RC00057879 (WA)

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 201043039RN (OR)

9631 N NEVADA ST STE 209, Spokane, WA 99218

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael Jacobus Van Gelder M.s., M.n., Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

STACIE J. WEBB, LICSW, PLLC

Community/Behavioral Health