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

Jeffrey Vanderbilt

Individual provider Nurse Practitioner · NPI 1568542082

Jeffrey Vanderbilt is a Nurse Practitioner in White Pigeon, Michigan. Qualified in 2013, 13 years ago. Practices with Health First Privia Medical Group, a 246-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

69011 Wildwood Dr
White Pigeon, MI 49099-7727
Phone: (269) 483-9991
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704211765 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4704211765 (MI)

Record details

NPI number1568542082
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJune 11, 2009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Health First Privia Medical Group — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare