IndividualActive
Marielle Vandervennen, MD
NPI 1194252676 · Pediatrics Physician · Grand Rapids, MI
Marielle Vandervennen, MD is a Pediatrics Physician provider in Grand Rapids, MI (NPI 1194252676).
Provider details
- NPI number
- 1194252676
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4301111845 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4288 3 Mile Rd Nw Ste 1
Grand Rapids, MI 49534-7596
Phone: (616) 458-3677
Street-level locationGet directions
Mailing address
4288 3 Mile Rd Nw Ste 1
Grand Rapids, MI 49534-7596
Additional practice locations (1)
- 4174 56th St SwWyoming, MI 49418-2899Phone: (616) 458-3677
Registry dates
- Enumerated
- 2017-05-16
- Last updated
- 2024-04-02
- Certified
- 2024-04-02
Frequently asked questions
- What is Marielle Vandervennen's NPI number?
- Marielle Vandervennen's National Provider Identifier (NPI) is 1194252676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marielle Vandervennen's specialty?
- Marielle Vandervennen is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Marielle Vandervennen located?
- Marielle Vandervennen's practice location on file with NPPES is 4288 3 Mile Rd Nw Ste 1, Grand Rapids, MI 49534-7596.
- What is Marielle Vandervennen's phone number?
- The practice phone number listed in the NPPES registry for Marielle Vandervennen is (616) 458-3677.
- Is Marielle Vandervennen's NPI active?
- Yes — Marielle Vandervennen's NPI (1194252676) is active in the NPPES registry as of the last update on 2024-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.