SUSAN J VANDELLEN (D.O.) – Rheumatology Physician, NPI 1598767394

SUSAN J VANDELLEN (D.O.) is a healthcare provider. based in Port huron, Michigan. specializing in RHEUMATOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101009277 (MI). The NPI Number for SUSAN J VANDELLEN (D.O.) is 1598767394

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN J VANDELLEN (D.O.)
NPI
1598767394
Phone
(810) 985-4900
Address
940 RIVER CENTRE DR
Enumeration Date
11 August 2005
Last Update Date
4 December 2009

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5867530011
Graduation Year
1985 (41 years ago)
PAC ID
9537148267
Group Practice PAC ID
3173424082
Professional Enrollment ID
I20040716000341
Address ID
MI482362148DE22101RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

216 RHEUMATOLOGY in MI

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Provider Addresses for SUSAN J VANDELLEN (D.O.)

  • River Centre Drive, Port Huron, Saint Clair County, Michigan, 48060, United States

    PORT HURON, MI 480604463

    Phone: (810) 985-4900

    Fax: (810) 985-3634

    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 42 Open Payments records for all available years, with a total value of $695.

Total Amount is formed as General ($695) + Research ($0) + Ownership ($0) = $695.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($283).

Total Amount

$695

General + Research + Ownership

Payments

42

Total payment records

General Amount

$695

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-07-16

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
I20040716000341IRheumatologyMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes177104$0
99213Established patient office or other outpatient visit, 20-29 minutes9469$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 48060)

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Provider's Procedures

SUSAN J VANDELLEN (D.O.) performs procedures in RHEUMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYMI20610Aspiration and/or injection of large joint or joint capsule3525

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: 3173424082View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
-MI
-MI
-MI
Infectious DiseaseMI
H E M A T O L O G Y/ O N C O L O G YMO
-MI
-MI
H E M A T O L O G Y/ O N C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What number should I use to identify SUSAN J VANDELLEN (D.O.) for billing?
Administrative and clinical systems typically use NPI 1598767394 for SUSAN J VANDELLEN (D.O.).
Is SUSAN J VANDELLEN (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists SUSAN J VANDELLEN (D.O.) as active.
What type of care does SUSAN J VANDELLEN (D.O.) provide?
SUSAN J VANDELLEN (D.O.)'s profile centers on Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Is SUSAN J VANDELLEN (D.O.) tied to Port Huron, Michigan?
If you are local to Port Huron, Michigan, SUSAN J VANDELLEN (D.O.) may be relevant to your search.
Who maintains SUSAN J VANDELLEN (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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