Individual provider Active NPI

Melvin Michael Vallette, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lakeview, MI
National Provider Identifier
1083160246
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704169791 Issued in MI
Practice address
8650 Howard City Edmore Rd
Lakeview, MI 48850
Phone
(989) 352-6474
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704169791 MI Primary

Addresses

Primary practice location

8650 Howard City Edmore Rd
Lakeview, MI 48850

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

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
I20161005002813 MI Practitioner - Nurse Practitioner 7517255672 Reassigns benefits to 2 organizations

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
Spectrum Health UnitedGroup PAC ID 6305836487, 90 clinicians

Practice addresses (Care Compare)

8650 Howard City Edmore Rd
Lakeview, MI 48850-9115

Hospital & facility affiliations

  • Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704169791MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mecosta County Medical Center CurrentSince Nov 30, 2023 Accepting new patients
Spectrum Health United CurrentSince Nov 30, 2023 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Spectrum Health United CurrentSince Nov 30, 2023 Accepting new patients
Mecosta County Medical Center CurrentSince Nov 30, 2023 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

14755 215th Ave
Big Rapids, MI 49307
Phone (231) 796-3200

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1202 W Oak St
Greenville, MI 48838
Phone (616) 754-2944

8650 Howard City Edmore Rd
Lakeview, MI 48850
Phone (989) 352-1800

Interoperability endpoints

  • Direct secure messaging: mvallette1702557@epic00.corewelldirect.org

Organizations & group practices 11

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 1

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1083160246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 HOWARD CITY EDMORE RD",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "48850",
            "telephone_number": "989-352-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLETTE",
        "first_name": "MELVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704169791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeview, MI

Sources for this page

Verify at the official NPI Registry.