MR. GREGORY VANFOSSEN (N.P.) – Nurse Practitioner, NPI 1346310067

MR. GREGORY VANFOSSEN (N.P.) is a healthcare provider. based in Cleveland, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 21795 (TN). The NPI Number for MR. GREGORY VANFOSSEN (N.P.) is 1346310067

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MR. GREGORY VANFOSSEN (N.P.)
NPI
1346310067
Phone
(786) 818-9004
Address
3774 BLUE SPRINGS RD
Enumeration Date
9 November 2006
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4236980850
Graduation Year
1991 (35 years ago)
PAC ID
1850491085
Group Practice PAC ID
1355253659
Professional Enrollment ID
I20170307001734
Address ID
TN373127020CL862XXNWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MR. GREGORY VANFOSSEN (N.P.)

  • 3774 BLUE SPRINGS RD

    CLEVELAND, TN 373118827

    Phone: (786) 818-9004

    Type: Mailing

  • 4957 Swinyar Dr Ste 101

    Ooltewah, TN 373632205

    Phone: (423) 698-0850

    Fax: (833) 450-6311

    Type: Location

  • 862 CALLEN LN NW

    CLEVELAND, TN 373126995

    Phone: (423) 331-5025

    Fax: (833) 450-6211

    Type: Location

  • Old County Road 17, Goshen, Elkhart County, Indiana, 46526, United States

    GOSHEN, IN 465288421

    Phone: (574) 875-0687

    Type: Mailing

  • Industrial Parkway, Elkhart, Elkhart County, Indiana, 46516, United States

    ELKHART, IN 465165414

    Phone: (574) 522-7203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $875.

Total Amount is formed as General ($875) + Research ($0) + Ownership ($0) = $875.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($299).

Total Amount

$875

General + Research + Ownership

Payments

53

Total payment records

General Amount

$875

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-03-07

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
I20170307001734INurse PractitionerTNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2320$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 37311)

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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: 1355253659View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
Physician AssistantTN
Anesthesiology, Pain Management, AnesthesiologyWA
Nurse PractitionerTN
Nurse PractitionerTN
Pain ManagementTN
-TN
A N E S T H E S I O L O G YTN
Interventional Pain Management, AnesthesiologyTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What unique ID ties claims to MR. GREGORY VANFOSSEN (N.P.)?
NPI 1346310067 is assigned to MR. GREGORY VANFOSSEN (N.P.) under the national enumeration system.
Is MR. GREGORY VANFOSSEN (N.P.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. GREGORY VANFOSSEN (N.P.) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MR. GREGORY VANFOSSEN (N.P.). Clinical services aligned with this taxonomy classification.
Where does public data place MR. GREGORY VANFOSSEN (N.P.)?
The snapshot lists Cleveland, Tennessee for MR. GREGORY VANFOSSEN (N.P.); download NPPES for the complete set.
How can I contact MR. GREGORY VANFOSSEN (N.P.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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