Individual provider Active NPI

Vincent Jan Winklerprins, M.D.

  • Family Medicine Physician
  • Petoskey, MI
National Provider Identifier
1215971098
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301076942 Issued in MI
Practice address
3890 Charlevoix Rd Unit 307
Petoskey, MI 49770-8422
Phone
(231) 360-2496
Fax
(231) 259-1001
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301076942 MI Primary

Addresses

Primary practice location

3890 Charlevoix Rd Unit 307
Petoskey, MI 49770-8422

Mailing address

932 Spring St Ste 101
Petoskey, MI 49770-2286
Phone (231) 360-2496

Other practice location 1

818 Red Dr Ste 100
Traverse City, MI 49684-4729
Phone (231) 333-1331

Other identifiers 1

IdentifierTypeStateIssuer
4233190MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University Past Accepting new patients
This Osteopathic Life, PLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1215971098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SPRING ST STE 101",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702286",
            "telephone_number": "231-360-2496",
            "fax_number": "231-259-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 CHARLEVOIX RD UNIT 307",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708422",
            "telephone_number": "231-360-2496",
            "fax_number": "231-259-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 Red Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496844729",
            "country_code": "US",
            "telephone_number": "231-333-1331",
            "fax_number": "231-259-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINKLERPRINS",
        "first_name": "VINCENT",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301076942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4233190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.