Nicole Van Allen Horne, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301105244 Issued in MI

Practice address

1865 Georgetown Center Dr Ste a
Jenison, MI 49428-7146

Phone

(616) 457-3510

NPI assigned

Jun 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Western Michigan Pediatrics, PC

  • Pediatrics Physician
  • Grand Rapids, MI
  • NPI 1932227915
  NPD (past)

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1386058527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 GEORGETOWN CENTER DR STE A",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287146",
            "telephone_number": "616-457-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 GEORGETOWN CENTER DR STE A",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287146",
            "telephone_number": "616-457-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ALLEN HORNE",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "1386058527",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301105244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Tillman
• Darian Alisa Tompkins
• Chasey Tran, PHARMD
• John Lawrence Tuttle, MA, MED, LPC
• Jessica Uzarski
• Cassidy Van Dyke
• Rachel Vanbeek
• Katherine Vander Wal, DDS
• Anita Maria Vanderstelt, D.O.
• Regan Vanderveen

• Pediatrics Physician in Jenison, MI
• Providers in Jenison, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.