Active NPI
Randi Lynn Vanocker, DO
- Family Medicine Physician
- Greenville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101020385
- Practice address
- 1202 W Oak St
Greenville, MI 48838-2155 - Phone
- (616) 754-4685
- NPI assigned
- May 3, 2013
- 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 | 5101020385 | MI | Primary |
Addresses
Primary practice location
1202 W Oak St
Greenville, MI 48838-2155
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rvanocker128956@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Medical Center of West Michigan
Practice addresses (Care Compare)
1202 W Oak St
Greenville, MI 48838-2155
1227 W State St
Family Medicine
Belding, MI 48809-9246
Phone (616) 794-0940
8650 Howard City Edmore Rd
Lakeview, MI 48850-9115
922 Lawndale St
Ludington, MI 49431-1928
Phone (231) 845-7380
Hospital & facility affiliations
- Mary Free Bed at Home, LLC
- Corewell Health Visiting Nurse Association
- Spectrum Health United Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101020385 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health United | Current | Accepting new patients | |
| Spectrum Health Hospitals | Current | Accepting new patients | |
| Spectrum Health Hospitals | Current | Accepting new patients | |
| Spectrum Health United | Family Medicine | Current | Accepting new patients |
Locations
1227 W State St
Belding, MI 48809
Phone (616) 794-0800
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
25 Michigan St NE
Ste 5100
Grand Rapids, MI 49503
Phone (616) 267-0800
1202 W Oak St
Greenville, MI 48838
Phone (616) 754-2944
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
418 Washington St
Lakeview, MI 48850
Phone (989) 352-6474
8650 Howard City Edmore Rd
Lakeview, MI 48850
Phone (989) 352-1800
Interoperability endpoints
- rvanocker128956@epic00.corewelldirect.org
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.
-
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
-
- Hospitalist Physician
- Grand Rapids, MI
- NPI 1558407189
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
- Family Medicine Physician
- Greenville, MI
- NPI 1063781342
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1023477478
-
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1659356061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1396180337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC 845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 W OAK ST",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488382155",
"telephone_number": "616-754-4685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANOCKER",
"first_name": "RANDI",
"middle_name": "LYNN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-03",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101020385",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rvanocker128956@epic00.shdirect.org",
"affiliation": "N",
"address_1": "1202 W Oak St",
"city": "Greenville",
"state": "MI",
"country_code": "US",
"postal_code": "488382155",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1202 W Oak St",
"city": "Greenville",
"state": "MI",
"country_code": "US",
"postal_code": "488382155",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.