MS. CHRISTINA A VANDEZANDE (OT) – Occupational Therapist, NPI 1043453285

MS. CHRISTINA A VANDEZANDE (OT) is a healthcare provider. based in Marquette, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. The NPI Number for MS. CHRISTINA A VANDEZANDE (OT) is 1043453285

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHRISTINA A VANDEZANDE (OT)
NPI
1043453285
Phone
(906) 228-1863
Address
2822 VENTURE DRIVE
Enumeration Date
17 April 2009
Last Update Date
3 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062284401
Graduation Year
1987 (39 years ago)
PAC ID
0042361776
Group Practice PAC ID
8224071964
Professional Enrollment ID
I20090619000296
Address ID
MI498558631MA2822XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:17State licenses:0Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MS. CHRISTINA A VANDEZANDE (OT)

  • 2822, Venture Drive, Trowbridge Park, Marquette Township, Marquette County, Michigan, 49855, United States

    MARQUETTE, MI 498558855

    Phone: (906) 228-1863

    Fax: (906) 225-0460

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090619000296IOccupational Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities9411$0
97167Evaluation for occupational therapy, typically 1 hour1212$0
View full utilization report →

Insurance plans in this area (ZIP 49855)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224071964View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

Does MS. CHRISTINA A VANDEZANDE (OT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. CHRISTINA A VANDEZANDE (OT) uses 1043453285.
Can I rely on MS. CHRISTINA A VANDEZANDE (OT) being an active provider?
As of the registry snapshot, MS. CHRISTINA A VANDEZANDE (OT) is marked active.
What taxonomy line describes MS. CHRISTINA A VANDEZANDE (OT)?
For research purposes, treat MS. CHRISTINA A VANDEZANDE (OT) as Occupational Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MS. CHRISTINA A VANDEZANDE (OT) on a map?
Expect Marquette, Michigan as a primary anchor for MS. CHRISTINA A VANDEZANDE (OT) unless the record lists multiple sites.
Why does MS. CHRISTINA A VANDEZANDE (OT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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