Look up the most recent NPI and PECOS records

Kylan Vanhoven

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

275 Michigan St NE, Grand Rapids, MI 49503-2531

PECOS Enrollment

Based on the most recent information from CMS, provider Kylan Vanhoven is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1245048057
Provider Type
Individual
Full Name
Vanhoven, Kylan
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
12/26/2024
Last Updated
6/27/2025

Contact Information

Practice Location

275 Michigan St NE, Grand Rapids, MI 49503-2531

(616) 267-7900

Unlisted Fax

Mailing Location

100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601012934 Michigan

Kylan Vanhoven

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Schoen, Kailey

Helmers, Gregory Scott

Mccolley, Sarah

Hohnstein, Chad Howard

Mascote, Laura

Joliat, Joanne

Temple, Gabrielle Marshall

Bolenz-Geesin, Laura J

Maatman, Caleb R

Rauch, Matthew Robert