Individual provider Active NPI

Monica Van Acker, D.O.

  • Dermatology Physician
  • East Lansing, MI
National Provider Identifier
1346689700
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5101020991 Issued in MI
Practice address
2601 Coolidge Rd Ste 200
East Lansing, MI 48823-6381
Phone
(517) 203-3000
Fax
(517) 203-3003
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 5101020991 MI Primary

Addresses

Primary practice location

2601 Coolidge Rd Ste 200
East Lansing, MI 48823-6381

Mailing address

5333 McAuley Dr #5011
Academic Dermatology Clinic St. Joesph Mercy Ann Arbor
Ypsilanti, MI 48197
Phone (734) 712-3376

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Monica.VanAcker@forefrontdermatology.emadirect.md

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725002684 MI Practitioner - Dermatology 1951527472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1007 Harbor Hills Dr
Suite C
Marquette, MI 49855-8977
Phone (906) 225-5458

2601 Coolidge Rd
Suite 200
East Lansing, MI 48823-6381
Phone (517) 203-3000

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions655
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020991MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 1, 2018 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 1, 2018 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

1625 Ramblewood Dr
Ste 2
East Lansing, MI 48823
Phone (517) 203-3000

2601 Coolidge Rd
Ste 200
East Lansing, MI 48823
Phone (517) 203-3000

4362 Cascade Rd SE
Ste 206
Grand Rapids, MI 49546
Phone (616) 678-2070

1007 Harbor Hills Dr
Ste C
Marquette, MI 49855
Phone (906) 225-5458

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: monica.vanacker@forefrontdermatology.emadirect.md

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1346689700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR #5011",
            "address_2": "ACADEMIC DERMATOLOGY CLINIC ST. JOESPH MERCY ANN ARBOR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-712-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 COOLIDGE RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236381",
            "telephone_number": "517-203-3000",
            "fax_number": "517-203-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ACKER",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101020991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Monica.VanAcker@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2601 Coolidge Rd Ste 200",
            "city": "East Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488236381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.