VY THUY THAN (NURSE PRACTITIONER) – Primary Care Nurse Practitioner, NPI 1821466368
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for VY THUY THAN (NURSE PRACTITIONER)
1005 S US Highway 27 Ste 100
Saint Johns, MI 488792423
Phone: (989) 224-3000
Fax: (989) 224-1424
Type: Location
702 W Lake Lansing Rd
East Lansing, MI 488238526
Phone: (517) 332-5342
Fax: (517) 316-2893
Type: Location
810 W Saginaw St
Lansing, MI 489151963
Phone: (517) 267-7623
Type: Location
5302 OTTER DR
LANSING, MI 489174076
Phone: (517) 763-1364
Type: Mailing
1005 S US HIGHWAY 27 STE 100
SAINT JOHNS, MI 488792423
Phone: (989) 224-3000
Fax: (989) 224-1424
Type: Location
PO BOX 639295 DEPT 93394
CINCINNATI, OH 452639295
Phone: (248) 266-4200
Type: Mailing
2205 JOLLY RD STE B
OKEMOS, MI 488643983
Phone: (517) 347-4085
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: 2018-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181016003277 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48879)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WV | |
| Occupational Therapist In Private Practice | PA | |
| Occupational Therapist In Private Practice | DC | |
| Internal Medicine | MI | |
| Anesthesiology, Interventional Pain Management | MI | |
| Occupational Therapist In Private Practice | WV | |
| Family Practice | MI | |
| Family Practice | MI | |
| Physical Therapist In Private Practice | MO | |
| Occupational Therapist In Private Practice | MD |
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