Individual provider Active NPI

Sydnie Jayne Vanderstelt, NP

  • Family Nurse Practitioner
  • North Muskegon, MI
National Provider Identifier
1700459732
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704315105 Issued in MI
Practice address
2006 Holton Rd Ste 200
North Muskegon, MI 49445-1505
Phone
(231) 672-3333
Fax
(231) 672-6520
NPI assigned
Jul 19, 2021
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704315105 MI Primary

Addresses

Primary practice location

2006 Holton Rd Ste 200
North Muskegon, MI 49445-1505

Mailing address

1355 W Giles Rd
N Muskegon, MI 49445-1160
Phone (231) 638-8288

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
I20231208002182 MI Practitioner - Nurse Practitioner 1951750439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Physician NetworkGroup PAC ID 8921996307, 109 clinicians

Practice addresses (Care Compare)

2006 Holton Rd
Muskegon, MI 49445-1505
Phone (231) 672-3333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704315105MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Network CurrentSince Dec 5, 2023 Accepting new patients
Mercy Physician Network CurrentSince Dec 5, 2023 Accepting new patients

Locations

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

2006 Holton Rd
Ste 200
North Muskegon, MI 49445
Phone (231) 672-3333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
  • Direct secure messaging: salviar30385@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1700459732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 W GILES RD",
            "city": "N MUSKEGON",
            "state": "MI",
            "postal_code": "494451160",
            "telephone_number": "231-638-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HOLTON RD STE 200",
            "city": "NORTH MUSKEGON",
            "state": "MI",
            "postal_code": "494451505",
            "telephone_number": "231-672-3333",
            "fax_number": "231-672-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSTELT",
        "first_name": "SYDNIE",
        "middle_name": "JAYNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704315105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Muskegon, MI

Sources for this page

Verify at the official NPI Registry.