Individual provider Active NPI

Rhiannon Rose Vanreyendam, PA-C

  • Physician Assistant
  • Harrison TWP, MI
National Provider Identifier
1467075630
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009947TMP20 Issued in MI
Practice address
37921 Huron Pointe Dr
Harrison TWP, MI 48045-2830
Phone
(248) 459-4047
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601009947TMP20 MI Primary

Addresses

Primary practice location

37921 Huron Pointe Dr
Harrison TWP, MI 48045-2830

Mailing address

37098 Camelot Dr Apt 8
Sterling Heights, MI 48312-2454
Phone (248) 459-4047

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220118000908 MI Practitioner - Physician Assistant 6204228554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Art of Dermatology PLLCGroup PAC ID 9830441690, 14 clinicians

Practice addresses (Care Compare)

28300 Harper Ave
Saint Clair Shores, MI 48081-1686
Phone (248) 581-0333

28903 Woodward Ave
Berkley, MI 48072-0924
Phone (248) 581-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601009947TMP20MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Bolton, MD, PC PastSince Mar 1, 1999 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rbailey564402@direct.hfhs.org
  • Direct secure messaging: rhiannonb@dschd.emadirect.md

Organizations & group practices 2

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1467075630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37098 CAMELOT DR APT 8",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122454",
            "telephone_number": "248-459-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37921 HURON POINTE DR",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480452830",
            "telephone_number": "248-459-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANREYENDAM",
        "first_name": "RHIANNON",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009947TMP20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison TWP, MI

Sources for this page

Verify at the official NPI Registry.