Active NPI
Vance Daly Powell III, RN, BSN, NP-C
- Nurse Practitioner
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704283371
- Practice address
- 23715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1181 - Phone
- (586) 447-8021
- NPI assigned
- Jul 25, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704283371 | MI | |
| Nurse Practitioner | 363L00000X | 4704283371 | MI | Primary |
Addresses
Primary practice location
23715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1181
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vpowell99807@direct.beaumont.edu |
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)
201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065
27015 W Warren St
Corewell Health Family Medicine
Dearborn Heights, MI 48127-1901
Phone (313) 278-1982
27031 W Warren St
Corewell Health Family Medicine
Dearborn Heights, MI 48127-1901
Phone (313) 274-3320
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704283371 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| Botsford General Hospital | Current | Accepting new patients | |
| Oakwood Ambulatory LLC | Current | Accepting new patients | |
| Botsford General Hospital | Current | Accepting new patients | |
| Botsford General Hospital | Past | Accepting new patients | |
| Canton Asthma & Allergy PC | Past | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
27015 W Warren St
Dearborn Heights, MI 48127
Phone (313) 278-1982
27031 W Warren St
Dearborn Heights, MI 48127
Phone (313) 274-3320
32754 Grand River Ave
Farmington Hls, MI 48336
Phone (248) 476-3280
20317 Farmington Rd
Livonia, MI 48152
Phone (248) 615-0777
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
Interoperability endpoints
- vpowell99807@direct.beaumont.edu
Organizations & group practices 6
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
- Dearborn, MI
- NPI 1003829441
-
- General Practice Registered Nurse
- Farmington, MI
- NPI 1134557960
-
- Urgent Care Clinic/Center
- Redford, MI
- NPI 1831402056
-
- Podiatrist
- Westland, MI
- NPI 1013157361
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- Pediatric Allergy/Immunology Physician
- Canton, MI
- NPI 1487715157
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1437782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1992180491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23715 LITTLE MACK AVE STE 100",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801181",
"telephone_number": "586-447-8021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "VANCE",
"middle_name": "DALY",
"name_suffix": "III",
"credential": "RN, BSN, NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704283371",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704283371",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vpowell99807@direct.beaumont.edu",
"affiliation": "N",
"address_1": "23715 Little Mack Ave Ste 100",
"city": "Saint Clair Shores",
"state": "MI",
"country_code": "US",
"postal_code": "480801181",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.