KATHERINE L VANDERLAAN (PA) – Medical Physician Assistant, NPI 1255605283
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for KATHERINE L VANDERLAAN (PA)
2700 ROBERT T LONGWAY BLVD STE B
FLINT, MI 485032190
Phone: (810) 235-2004
Fax: (810) 235-2841
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)
CMS reports 48 Open Payments records for all available years, with a total value of $891.
Total Amount is formed as General ($891) + Research ($0) + Ownership ($0) = $891.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($122).
Total Amount
$891
General + Research + Ownership
Payments
48
Total payment records
General Amount
$891
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-05-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120510000049 | I | Physician Assistant | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 20 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | 20 | $0 |
| 99497 | Advance care planning, first 30 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 48503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 81002 | Urinalysis, manual test | 36 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | TX | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| P O D I A T R Y | MI | |
| Internal Medicine | MI | |
| C H I R O P R A C T I C | MI |
Reviews
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