Individual provider Active NPI

Joshua Nathanael Vance, D.O.

  • Emergency Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1649492463
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036145124 Issued in IL
Practice address
1919 Boston St
Grand Rapids, MI 49506-8888
Phone
(616) 252-7200
NPI assigned
May 2, 2007
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036145124 IL Primary
Internal Medicine Physician 207R00000X 5101016861 MI

Addresses

Primary practice location

1919 Boston St
Grand Rapids, MI 49506-8888

Mailing address

2519 Ridge Top Dr SE
Byron Center, MI 49315-8888
Phone (616) 885-7897

Other practice location 1

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joshua.vance.1@15486.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090903000520 MI Practitioner - Emergency Medicine 4486709003 Reassigns benefits to 7 organizations
I20180514000013 IL Practitioner - Emergency MedicinePractitioner - Internal Medicine 4486709003 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statera Health Care LLCGroup PAC ID 0244565729, 41 clinicians
Emergency Services Midwest SCGroup PAC ID 2769746056, 37 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-5644

701 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 278-1145

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital CurrentSince Aug 1, 2009 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Emergency Services Midwest SC Emergency Medicine CurrentSince Jan 7, 2020 Accepting new patients
Crawford Hospital District CurrentSince Dec 24, 2025 Accepting new patients
Crawford Hospital District CurrentSince Dec 24, 2025 Accepting new patients
Capital Pathology PC Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Oct 15, 2015 Accepting new patients
Sparrow Clinton Hospital Emergency Medicine CurrentSince Oct 15, 2015 Accepting new patients
Beacon Kalamazoo Inc CurrentSince Aug 13, 2020 Accepting new patients
Elite Emergency Physicians of Michigan PC Emergency Medicine CurrentSince Aug 9, 2023 Accepting new patients
Beacon Kalamazoo Inc CurrentSince Aug 13, 2020 Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC Emergency Medicine CurrentSince Dec 6, 2017 Accepting new patients
Sparrow Ionia Hospital Emergency Medicine CurrentSince Aug 1, 2009 Accepting new patients
Iroquois Memorial Hospital and Resident Home Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 10, 2025 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 10, 2025 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

8175 Reliable Pkwy
Chicago, IL 60686

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1498

520 E Washington St
Ionia, MI 48846
Phone (616) 527-4200

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Interoperability endpoints

  • Direct secure messaging: joshua.vance.1@15486.direct.athenahealth.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 5

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1649492463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 RIDGE TOP DR SE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158888",
            "telephone_number": "616-885-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BOSTON ST",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495068888",
            "telephone_number": "616-252-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JOSHUA",
        "middle_name": "NATHANAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036145124",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joshua.vance.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.