Individual provider Active NPI

Michele L Van Vranken, MD

  • Family Medicine Physician
  • West St. Paul, MN
National Provider Identifier
1255307252
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40523 Issued in MN
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

Updated by the provider on May 10, 2013

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 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

IdentifierTypeStateIssuer
571516400MedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 RamseyGroup PAC ID 8224941992, 4 clinicians

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

LicenseStateTypeSpecialty
40523MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Community Health Services, Inc. CurrentSince Jan 28, 2013 Accepting new patients
County of Ramsey CurrentSince Aug 1, 2019 Accepting new patients
West Side Community Health Services, Inc CurrentSince Jan 28, 2013 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

  • Direct secure messaging: michele.vanvranken.p2@direct.ramseysocialservices.nextgenshare.com
  • Direct secure messaging: michele.vanvranken.p1@direct.ramseysocialservices.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.