Active NPI
Lynette Kay Vanderscheer, PA-C
- Physician Assistant
- Grand Rapids, MI
National Provider Identifier
1700851995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601001382
- Practice address
- 100 Michigan St NE Ste 4297
Grand Rapids, MI 49503-2560 - Phone
- (616) 267-7104
- NPI assigned
- Feb 21, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601001382 | MI | Primary |
Addresses
Primary practice location
100 Michigan St NE Ste 4297
Grand Rapids, MI 49503-2560
Mailing address
100 Michigan St NE
Mc845
Grand Rapids, MI 49503-2560
Other names 1
- Lynette Kay Kilroy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Rapids Addiction Medicine Specialists PC | Past | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Physician Assistant | Past | Accepting new patients |
| Hospitalists of West Michigan PC | Past | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Past | Accepting new patients |
Interoperability endpoints
- lvanderscheer49347@epic00.shdirect.org
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
- Grand Rapids, MI
- NPI 1780642355
-
- Infusion Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1942334636
-
- Physician Assistant
- Grand Rapids, MI
- NPI 1376554519
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1386015683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1700851995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE STE 4297",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560",
"telephone_number": "616-267-7104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERSCHEER",
"first_name": "LYNETTE",
"middle_name": "KAY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601001382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNETTE",
"last_name": "KILROY",
"middle_name": "KAY",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.