Active NPI
Deana Yasso-Vander Vliet, FNP-BC
- Family Nurse Practitioner
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704259302
- Practice address
- 2421 Monroe St
Suite 201
Dearborn, MI 48124-3043 - Phone
- (313) 562-4100
- NPI assigned
- May 25, 2016
- 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 Nurse Practitioner | 363LF0000X | 4704259302 | MI | Primary |
Addresses
Primary practice location
2421 Monroe St
Suite 201
Dearborn, MI 48124-3043
Mailing address
2421 Monroe St
Suite 201
Dearborn, MI 48124-3043
Phone (313) 562-4100
Other names 1
- Deana Yasso-Vander Vliet
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26400 W 12 Mile Rd
Suite 111
Southfield, MI 48034-1771
Phone (248) 357-4151
Hospital & facility affiliations
- Beaumont Hospital - Dearborn
- Corewell Health Wayne Hospital
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Taylor
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Danny Kewson M.D. P.C | Past | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
2421 Monroe St
Ste 201
Dearborn, MI 48124
Phone (313) 447-0511
18100 Oakwood Blvd
Ste 300
Dearborn, MI 48124
Phone (313) 240-4900
5250 Auto Club Dr
Ste 290A
Dearborn, MI 48126
Phone (313) 448-9220
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
26400 W 12 Mile Rd
Ste 111
Southfield, MI 48034
Phone (248) 357-4151
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- deana.yasso-vander.vliet.1@19711.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
MI, Nurse Practitioner
-
- Audiologist
- Dearborn, MI
- NPI 1982196325
-
- Social Worker
- Livonia, MI
- NPI 1154360402
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1649628231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 MONROE ST",
"address_2": "SUITE 201",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243043",
"telephone_number": "313-562-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 MONROE ST",
"address_2": "SUITE 201",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243043",
"telephone_number": "313-562-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASSO-VANDER VLIET",
"first_name": "DEANA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704259302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEANA",
"last_name": "YASSO-VANDER VLIET",
"credential": "FNP-BC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.