Individual provider Active NPI

Brooke R Vanlente, NP

  • Family Nurse Practitioner
  • Ionia, MI
National Provider Identifier
1205358199
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704295371 Issued in MI
Practice address
550 E Washington St
Ionia, MI 48846-2202
Phone
(616) 523-1600
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

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 4704295371 MI Primary

Addresses

Primary practice location

550 E Washington St
Ionia, MI 48846-2202

Mailing address

2270 Catalpa Dr
Orleans, MI 48865-8700

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
I20170815002085 MI Practitioner - Nurse Practitioner 9931471711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Ionia HospitalGroup PAC ID 0042118887, 42 clinicians

Practice addresses (Care Compare)

550 E Washington St
Ionia, MI 48846-2202
Phone (616) 523-1600

Hospital & facility affiliations

  • Sparrow Ionia Hospital Hospital, Ionia, MI, CCN 231331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704295371MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital Current Accepting new patients
Sparrow Carson Hospital CurrentSince Jan 1, 2019 Accepting new patients
Sparrow Ionia Hospital CurrentSince Aug 1, 2017 Accepting new patients
Sparrow Ionia Hospital Family CurrentSince Aug 1, 2017 Accepting new patients
Sparrow Carson Hospital CurrentSince Jan 1, 2019 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145

550 E Washington St
Fl 2
Ionia, MI 48846
Phone (616) 523-1600

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

Organizations & group practices 7

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1205358199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 CATALPA DR",
            "city": "ORLEANS",
            "state": "MI",
            "postal_code": "488658700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E WASHINGTON ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488462202",
            "telephone_number": "616-523-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLENTE",
        "first_name": "BROOKE",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704295371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

Verify at the official NPI Registry.