Rachel Elaine Vincent, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704279200 Issued in MI

Practice address

1023 Ellsmere St NE
Grand Rapids, MI 49505-3738

Phone

(616) 902-1562

NPI assigned

Jun 5, 2024

Sex

Female

Sole proprietor

Yes

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.

• Faith Hospice

  • Community Based Hospice Care Agency
  • Byron Center, MI
  • NPI 1790739282

  MI

  Medicare reassignment Care Compare group NPD
• Metropolitan Hospital

  • Hematology & Oncology Physician
  • Wyoming, MI
  • NPI 1487813200

  MI

  Medicare reassignment NPD
• Metropolitan Hospital

  • Internal Medicine Physician
  • Wyoming, MI
  • NPI 1811937519

  MI

  Medicare reassignment NPD
• Faith Palliative Care

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Grand Rapids, MI
  • NPI 1497014476
  NPD
• Metropolitan Hospital

  • General Acute Care Hospital
  • Wyoming, MI
  • NPI 1619923919
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metropolitan Hospital

  • General Acute Care Hospital
  • Wyoming, MI
  • NPI 1619923919

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Faith Hospice 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachel.vincent.1@16329.direct.athenahealth.com

• Rachel Shaffer Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2024.

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1326889072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 ELLSMERE ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053738",
            "telephone_number": "616-902-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 ELLSMERE ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053738",
            "telephone_number": "616-902-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "RACHEL",
        "middle_name": "ELAINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704279200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SHAFFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolina Vinaja, LMSW
• Nicole Maxine Vince, DMD
• James Vincelj, DDS
• Kelsey Vincent
• Mary Vincent, DNP, NP-C
• Stacy Lynn Vincent
• Shelby Vincke
• Matthew Vinnal, ATC
• Amanda Marie Vins, BSW
• Lindsay Vipond

• All providers in Grand Rapids, MI
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.

Verify at the official NPI Registry.