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

Tracy Vanden Bosch

Individual provider Family Nurse Practitioner · NPI 1528450525

Tracy Vanden Bosch is a Nurse Practitioner in Allegan, Michigan. Qualified in 2014, 12 years ago. Practices with Lakewood Family Medicine PLC, a 19-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2015

Practice location Address checks out

551 Linn St Ste 150
Allegan, MI 49010-1595
Phone: (269) 686-5800
Fax: (269) 686-5899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704274877 (MI)

Record details

NPI number1528450525
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2015
Last updated in NPPESDecember 14, 2016
Mailing address382 N 120th Ave, Suite 150, Holland, MI 49424-2169

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lakewood Family Medicine Plc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Allegan