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Active NPI 1023680964 Individual Practitioner Male Practitioner

Greg Allen Booth Vander Wel , LPN

Licensed Practical Nurse • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Greg Booth Vander Wel, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Grand Rapids, MI. Practice services are available at 470 BALTIMORE DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

470 Baltimore Dr Ne

Grand Rapids, MI 495033934

Telephone 6167261909

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
132 Specialists

Practicing in Grand Rapids, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-12
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703114773

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Alexa Jackson

Behavior Technician

NPI 1003525593
Mikenna Davidson

Behavior Technician

NPI 1134889603
Devon Baker

Behavior Technician

NPI 1194424630
Malaysia Turner-Mayes

Technician - Personal Care Attendant

NPI 1215698105
Emma Carlson

Behavior Technician

NPI 1235813734
Jennifer Sipe , RBT

Behavior Technician

NPI 1245714021

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 12, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2021

Registered at 470 BALTIMORE DR NE, GRAND RAPIDS, MI 495033934 (Tel: 6167261909)

📍
Updated Business Mailing Address July 12, 2021

Registered at 470 BALTIMORE DR NE, GRAND RAPIDS, MI 495033934 (Tel: 6167261909)

👤
Provider Name / Credentials Updated July 12, 2021

Recorded as GREG BOOTH VANDER WEL, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2021

Licensed Practical Nurse (License #4703114773 in MI)

🟢
Initial NPI Registration & Enumeration July 12, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023680964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2021
Last Update: July 12, 2021
Sole Proprietor: No

Mailing Address

470 Baltimore Dr Ne

Grand Rapids, MI 495033934

Phone: 6167261909

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.