IndividualActive
Mackenzie Vandervelde, PA-C
NPI 1801614656 · Physician Assistant · Grand Rapids, MI
Provider details
- NPI number
- 1801614656
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601012783 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
300 68th St Se
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
Fax: (616) 455-5960
Street-level locationGet directions
Mailing address
300 68th St Se
Grand Rapids, MI 49548-6927
Additional practice locations (1)
- 655 Kenmoor Ave Se Ste 201Grand Rapids, MI 49546-8604Phone: (616) 920-0825
Registry dates
- Enumerated
- 2024-10-01
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.