Active NPI
Melvin Michael Vallette, NURSE PRACTITIONER
- Family Nurse Practitioner
- Lakeview, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704169791
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 United
Practice addresses (Care Compare)
8650 Howard City Edmore Rd
Lakeview, MI 48850-9115
Hospital & facility affiliations
- Spectrum Health United Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704169791 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mecosta County Medical Center | Current | Accepting new patients | |
| Spectrum Health United | Current | Accepting new patients | |
| Mecosta County Medical Center | Current | Accepting new patients | |
| Spectrum Health United | Current | Accepting new patients | |
| Mecosta County Medical Center | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Ionia, MI
- NPI 1174498893
-
- Rural Health Clinic/Center
- Belding, MI
- NPI 1306289558
-
- Rural Health Clinic/Center
- Greenville, MI
- NPI 1477927184
-
- Rural Health Clinic/Center
- Greenville, MI
- NPI 1538436852
-
- Rural Health Clinic/Center
- Lakeview, MI
- NPI 1790104206
-
- Skilled Nursing Facility
- Greenville, MI
- NPI 1962697946
-
- General Acute Care Hospital
- Big Rapids, MI
- NPI 1316945991
-
- Family Medicine Physician
- Big Rapids, MI
- NPI 1366730566
-
- Family Medicine Physician
- Greenville, MI
- NPI 1063781342
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.