MR. JAMES WILLIAM JR. VANFOSSEN (PA) – Physician Assistant, NPI 1720092943

MR. JAMES WILLIAM JR. VANFOSSEN (PA) is a healthcare provider. based in Manistee, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA-1273 (AR). The NPI Number for MR. JAMES WILLIAM JR. VANFOSSEN (PA) is 1720092943

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES WILLIAM JR. VANFOSSEN (PA)
NPI
1720092943
Phone
(231) 398-1000
Address
1465 E PARKDALE AVE
Enumeration Date
27 July 2006
Last Update Date
13 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
1153519624
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20101228000372
Address ID
MI490859151SA3950XRDXX300

Contacts

Secure Messaging
jvanfossen48928@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MR. JAMES WILLIAM JR. VANFOSSEN (PA)

  • Munson Healthcare Manistee Hospital, 1465, East Parkdale Avenue, Parkdale, Manistee Township, Manistee County, Michigan, 49660, United States

    MANISTEE, MI 496609709

    Phone: (231) 398-1000

    Type: Location

  • 1465 E Parkdale Ave

    Manistee, MI 496609709

    Phone: (231) 398-1000

    Type: Location

  • 77 N Airlite St

    Elgin, IL 601234912

    Phone: (847) 695-3200

    Type: Location

  • 800 Biesterfield Rd

    Elk Grove Village, IL 600073361

    Phone: (847) 437-5500

    Type: Location

  • 1001 Towson Ave

    Fort Smith, AR 729014921

    Phone: (479) 441-4000

    Type: Location

  • 2233 W Division St

    Chicago, IL 606228151

    Phone: (312) 770-2000

    Type: Location

  • 605 Oak St

    Big Rapids, MI 493072048

    Phone: (616) 391-3139

    Fax: (616) 391-3044

    Type: Location

  • 160 NW 170TH ST

    NORTH MIAMI BEACH, FL 331695576

    Phone: (305) 651-1100

    Type: Location

  • 100 MICHIGAN ST NE

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 200 CORPORATE BLVD

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

  • Traverse City, Grand Traverse County, Michigan, United States

    TRAVERSE CITY, MI 496841320

    Phone: (989) 340-1211

    Fax: (231) 346-6042

    Type: Mailing

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: 2024-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20101228000372IPhysician AssistantMITBD
I20240530003410IPhysician AssistantARTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2323$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 49660)

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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: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI
-MI
Physician AssistantMI
Internal MedicineMI
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 identifier follows MR. JAMES WILLIAM JR. VANFOSSEN (PA) across health systems?
The NPI 1720092943 uniquely identifies MR. JAMES WILLIAM JR. VANFOSSEN (PA) in U.S. healthcare data.
Does the public listing show MR. JAMES WILLIAM JR. VANFOSSEN (PA) as active?
MR. JAMES WILLIAM JR. VANFOSSEN (PA)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. JAMES WILLIAM JR. VANFOSSEN (PA)?
NPPES ties MR. JAMES WILLIAM JR. VANFOSSEN (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. JAMES WILLIAM JR. VANFOSSEN (PA)?
The directory associates MR. JAMES WILLIAM JR. VANFOSSEN (PA) with Manistee, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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