Active NPI
Michele L Van Vranken, MD
- Family Medicine Physician
- West St. Paul, MN
National Provider Identifier
1255307252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40523
- Practice address
- 153 Cesar Chavez St
West St. Paul, MN 55107-2226 - Phone
- (651) 222-1816
- Fax
- (651) 222-1305
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 Medicine Physician | 207Q00000X | 40523 | MN | Primary |
Addresses
Primary practice location
153 Cesar Chavez St
West St. Paul, MN 55107-2226
Mailing address
153 Cesar Chavez St
West St. Paul, MN 55107-2226
Phone (651) 222-1816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 571516400 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040408000207 | MN | Practitioner - Family Practice | 5698768117 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rush Medical College of Rush University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Ramsey
Practice addresses (Care Compare)
1850 Beam Ave
Maplewood, MN 55109-1162
Phone (651) 266-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40523 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| County of Ramsey | Current | Accepting new patients | |
| West Side Community Health Services, Inc | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients |
Locations
555 Cedar St
Saint Paul, MN 55101
Phone (651) 266-1200
153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816
Interoperability endpoints
- michele.vanvranken.p2@direct.ramseysocialservices.nextgenshare.com
- michele.vanvranken.p1@direct.ramseysocialservices.nextgenshare.com
- michele.vanvranken.p4@direct.ramseysocialservices.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1821149964
MN
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1194902072
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1043187289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1255307252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 CESAR CHAVEZ ST",
"city": "WEST ST. PAUL",
"state": "MN",
"postal_code": "551072226",
"telephone_number": "651-222-1816",
"fax_number": "651-222-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 CESAR CHAVEZ ST",
"city": "WEST ST. PAUL",
"state": "MN",
"postal_code": "551072226",
"telephone_number": "651-222-1816",
"fax_number": "651-222-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN VRANKEN",
"first_name": "MICHELE",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "40523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "571516400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West St. Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.