Peter Jeffrey Vance, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PV077860 Issued in MI

Practice address

5565 Broadmoor Ave SE
Kentwood, MI 49512-5302

Phone

(616) 952-4200

NPI assigned

Apr 10, 2006

Last updated

Aug 31, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: peter.vance@799501387825156.direct.elationemr.com

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.

• Dr Fred PLLC

  dba MI Partner Health

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1700625761
  NPD (past)
• Holland Community Hospital

  • Family Medicine Physician
  • Saugatuck, MI
  • NPI 1700549169
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1740243856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256045",
            "telephone_number": "616-300-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 BROADMOOR AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495125302",
            "telephone_number": "616-952-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "PETER",
        "middle_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "PV077860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4316293  10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Pharmaceutical Services Inc.
• Unity Senior Care LLC
• Courtney Albin Upchurch, MAC, LPC, CAADC
• Jack W. Urben, PHARM.D.
• Madissen Anne Vacha, M.S., CCC-SLP
• Jaqueline Regina Vandenberg, BEHAVIOR TECHNICIAN
• Julia Lynn Vandenbosch, LMSW
• Marie Vander Linde, MD
• Megan Vanderhoof, OTRL
• Grant Michael Vanderklipp

• Family Medicine Physician in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.