LARA DENGERINK-VANTIL (NP) – Gerontology Nurse Practitioner, NPI 1679023501
Gerontology Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for LARA DENGERINK-VANTIL (NP)
1900, 44th Street Southeast, Kentwood, Kent County, Michigan, 49508, United States
KENTWOOD, MI 495085008
Phone:
Type: Mailing
200, Cherry Street Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 49503
Phone: (616) 685-3330
Fax: (616) 685-3349
Type: Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
25 MICHIGAN ST NE STE 2100
GRAND RAPIDS, MI 495032526
Phone: (616) 391-3777
Type: Location
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: 2017-10-20
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 |
|---|---|---|---|---|
| I20171020000961 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 34 | 19 | $0 |
Insurance plans in this area (ZIP 49508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| General Surgery, Critical Care (Intensivists) | MI | |
| Pediatric Medicine | MI | |
| - | MI | |
| - | MI | |
| Hand Surgery | MN | |
| - | MI | |
| - | MI | |
| Internal Medicine | MI | |
| - | MI |
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