Individual provider Active NPI

Vance Daly Powell III, RN, BSN, NP-C

  • Nurse Practitioner
  • Saint Clair Shores, MI
National Provider Identifier
1992180491
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704283371 Issued in MI
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

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151106000422 MI Practitioner - Nurse Practitioner 4486964251 Reassigns benefits to 2 organizations

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
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

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 Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704283371MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory, LLC CurrentSince Dec 1, 2018 Accepting new patients
Botsford General Hospital CurrentSince Mar 14, 2016 Accepting new patients
Oakwood Ambulatory LLC CurrentSince Dec 1, 2018 Accepting new patients
Botsford General Hospital CurrentSince Mar 14, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.