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

Kelsee Amber Vanderbaan, NP

Individual provider Family Nurse Practitioner · NPI 1497270524

Kelsee Amber Vanderbaan, NP is a Nurse Practitioner in Wyoming, Michigan. Qualified in 2017, 9 years ago. Offers telehealth. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
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

6105 Wilson Ave SW Ste 202
Wyoming, MI 49418-9714
Phone: (616) 486-5299
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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 4704306404 (MI)

Record details

NPI number1497270524
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 9, 2017
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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