JULIE VANDERSTARRE (PA) – Physician Assistant, NPI 1477964799

JULIE VANDERSTARRE (PA) is a healthcare provider. based in Ada, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601006994 (MI). The NPI Number for JULIE VANDERSTARRE (PA) is 1477964799

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JULIE VANDERSTARRE (PA)
NPI
1477964799
Phone
(616) 295-5467
Address
6609 RIX ST SE
Enumeration Date
9 May 2014
Last Update Date
11 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2014 (12 years ago)
PAC ID
4789969957
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20170330002219
Address ID
MI495084600KE4444XSEXX401

Contacts

FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Secure Messaging
jvanderstarre172627@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for JULIE VANDERSTARRE (PA)

  • 6609 RIX ST SE

    ADA, MI 493019018

    Phone: (616) 295-5467

    Type: Mailing

  • 2111 12 MILE RD NW

    SPARTA, MI 493459754

    Phone: (616) 391-8470

    Type: Location

  • 230 MICHIGAN ST NE STE 230

    GRAND RAPIDS, MI 495032550

    Phone: (616) 774-2822

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($31).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

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: 2017-03-30

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
I20170330002219IPhysician AssistantMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes125101$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5946$0
View full utilization report →

Insurance plans in this area (ZIP 49301)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I verify JULIE VANDERSTARRE (PA) with an NPI only?
You can start verification with NPI 1477964799 for JULIE VANDERSTARRE (PA), then check state licensing separately.
Does CMS list JULIE VANDERSTARRE (PA) as active?
Yes — JULIE VANDERSTARRE (PA) is active in the NPI listing used on this page.
What is JULIE VANDERSTARRE (PA)'s specialty?
The listing groups JULIE VANDERSTARRE (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JULIE VANDERSTARRE (PA) list a practice location?
Patients near Ada, Michigan may find JULIE VANDERSTARRE (PA) in results; validate coverage separately.
Is the information about JULIE VANDERSTARRE (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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