Individual provider Active NPI

Serrina Elaine Vaneckhoutte, FNP

  • Nurse Practitioner
  • Flint, MI
National Provider Identifier
1578283487
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704283522 Issued in MI
Practice address
1 Hurley PLZ
Flint, MI 48503-5902
Phone
(810) 262-9000
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704283522 MI Primary

Addresses

Primary practice location

1 Hurley PLZ
Flint, MI 48503-5902

Mailing address

7239 Brittwood LN
Flint, MI 48507-4623
Phone (810) 250-1222

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL hurleymedicalcenter Health Information Exchange (HIE)
Direct Messaging Address svaneckhoutte111353@direct.hurleymc.com

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
I20221021002317 MI Practitioner - Nurse Practitioner 0244606895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, shared by 10 NPIs, 336 clinicians

Practice addresses (Care Compare)

1 Hurley Plaza Ground N Clinic
Hurley Nurse Practitioner Group
Flint, MI 48503-5902
Phone (810) 262-9191

1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 262-7333

Hospital & facility affiliations

  • Hurley Medical Center Hospital, Flint, MI, CCN 230132

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704283522MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center CurrentSince Sep 13, 2022 Accepting new patients
Hurley Medical Center Nurse Practitioner Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Sep 13, 2022 Accepting new patients
Hurley Medical Center Nurse Practitioner CurrentSince Sep 13, 2022 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Current Accepting new patients

Locations

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

G2065 S Center Rd
Flint, MI 48519
Phone (810) 250-3800

Interoperability endpoints

  • Direct secure messaging: svaneckhoutte111353@direct.hurleymc.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1578283487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7239 BRITTWOOD LN",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074623",
            "telephone_number": "810-250-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANECKHOUTTE",
        "first_name": "SERRINA",
        "middle_name": "ELAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704283522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hurleymedicalcenter",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Hurley Plz",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485035902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svaneckhoutte111353@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "1 Hurley Plz",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485035902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.