Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gretchen S Holt-Vredevoogd, PA-C

Individual provider Physician Assistant · NPI 1366557688

Gretchen S Holt-Vredevoogd, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2003, 23 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

145 Michigan St NE Ste 3410
Grand Rapids, MI 49503-2563
Phone: (616) 391-9945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Michigan St Ne, Grand Rapids, MI 49503-2560 — (616) 391-1680

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601004218 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601004218 (MI)

Record details

NPI number1366557688
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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