Individual provider Active NPI

Rachel Vanwormer, NP

  • Family Nurse Practitioner
  • Saint Helen, MI
National Provider Identifier
1013366616
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704267157 Issued in MI
Practice address
1360 N Saint Helen Rd
Saint Helen, MI 48656-9521
Phone
(989) 826-3271
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704267157 MI Primary
Registered Nurse 163W00000X 4704267157 MI

Addresses

Primary practice location

1360 N Saint Helen Rd
Saint Helen, MI 48656-9521

Mailing address

1360 N Saint Helen Rd
PO Box 39
Saint Helen, MI 48656-9521
Phone (989) 826-3271

Other names 1

  • Rachel Roe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907002547 MI Practitioner - Nurse Practitioner 0143516716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians

Practice addresses (Care Compare)

2110 S M
West Branch, MI 48661-8821

445 S Valley St
West Branch, MI 48661-9206
Phone (989) 345-3600

611 Court St
West Branch, MI 48661-8820
Phone (989) 345-7000

646 Court St
West Branch, MI 48661-8781
Phone (989) 343-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704267157MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Aug 1, 2020 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan CurrentSince Aug 1, 2020 Accepting new patients
McLaren Central Michigan Past Accepting new patients

Locations

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2990 Campbell Rd
Rose City, MI 48654
Phone (989) 685-2333

1360 N Saint Helen Rd
Saint Helen, MI 48656
Phone (517) 389-4944

2110 S M 76
Ste 6
West Branch, MI 48661
Phone (989) 345-1184

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1013366616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N SAINT HELEN RD",
            "address_2": "PO BOX 39",
            "city": "SAINT HELEN",
            "state": "MI",
            "postal_code": "486569521",
            "telephone_number": "989-826-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N SAINT HELEN RD",
            "city": "SAINT HELEN",
            "state": "MI",
            "postal_code": "486569521",
            "telephone_number": "989-826-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWORMER",
        "first_name": "RACHEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704267157",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704267157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "ROE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Helen, MI

Sources for this page

Verify at the official NPI Registry.