Individual provider Active NPI

Sarah Rose Vanderhoof, PA-C

  • Physician Assistant
  • Lakeview, MI
National Provider Identifier
1679023964
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007943 Issued in MI
Practice address
8650 Howard City Edmore Rd
Lakeview, MI 48850-7102
Phone
(989) 352-6474
NPI assigned
Oct 11, 2016
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 5601007943 MI Primary

Addresses

Primary practice location

8650 Howard City Edmore Rd
Lakeview, MI 48850-7102

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Direct Messaging Address svanderhoof267780@epic00.shdirect.org

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
I20161028000137 MI Practitioner - Physician Assistant 5496033326 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health UnitedGroup PAC ID 6305836487, 90 clinicians

Practice addresses (Care Compare)

8650 Howard City Edmore Rd
Lakeview, MI 48850-9115

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mecosta County Medical Center CurrentSince May 31, 2020 Accepting new patients
Willis F Gaffney M.D. P.C. CurrentSince Oct 6, 2016 Accepting new patients
Spectrum Health United CurrentSince May 31, 2020 Accepting new patients
Pennock Hospital CurrentSince May 31, 2020 Accepting new patients
Pennock Hospital CurrentSince May 31, 2020 Accepting new patients
Mecosta County Medical Center CurrentSince May 31, 2020 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1202 W Oak St
Greenville, MI 48838
Phone (616) 754-2944

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

2776 S State Rd
Ionia, MI 48846
Phone (616) 267-8700

418 Washington St
Lakeview, MI 48850
Phone (989) 352-6474

8650 Howard City Edmore Rd
Lakeview, MI 48850
Phone (989) 352-1800

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

2939 S Sheridan Rd
Stanton, MI 48888
Phone (989) 831-9009

Interoperability endpoints

  • Direct secure messaging: svanderhoof267780@epic00.corewelldirect.org
  • Direct secure messaging: svanderhoof267780@epic00.shdirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1679023964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 HOWARD CITY EDMORE RD",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488507102",
            "telephone_number": "989-352-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHOOF",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8650 Howard City Edmore Rd",
            "city": "Lakeview",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488507102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svanderhoof267780@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "8650 Howard City Edmore Rd",
            "city": "Lakeview",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488507102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeview, MI

Sources for this page

Verify at the official NPI Registry.