Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glen Vanderschaaf, NP

Individual provider Family Nurse Practitioner · NPI 1225596968

Glen Vanderschaaf, NP is a Nurse Practitioner in Muskegon, Michigan. Qualified in 2018, 8 years ago. Practices with Mercy Physician Network, a 110-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1150 E Sherman Blvd Ste 1175
Muskegon, MI 49444-1885
Phone: (231) 672-6740
Fax: (231) 672-6787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704305626 (MI)

Record details

NPI number1225596968
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 12, 2019
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021
Mailing addressPo Box 1848, Muskegon, MI 49443-1848

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mercy Physician Network — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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