Michelle Lynn Vandeberg, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A107620 Issued in IA

Practice address

105 9TH Ave
Belle Plaine, IA 52208-2200

Phone

(319) 444-2840

NPI assigned

Dec 20, 2007

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mvandeberg583641@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Luke's Jones Regional Medical Center

  dba Jones Regional Medical Center Physician Services

  • Emergency Medicine Physician
  • Anamosa, IA
  • NPI 1942397328
  Medicare reassignment NPD
• St Luke's Jones Regional Medical Center

  • Community/Retail Pharmacy
  • Anamosa, IA
  • NPI 1932740024
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1013191451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 GLASS RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022514",
            "telephone_number": "319-294-0094",
            "fax_number": "319-294-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 9TH AVE",
            "city": "BELLE PLAINE",
            "state": "IA",
            "postal_code": "522082200",
            "telephone_number": "319-444-2840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4205 Glass Rd NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524022514",
            "country_code": "US",
            "telephone_number": "319-294-0094",
            "fax_number": "319-294-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEBERG",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A107620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chassidy Alisa Ruby, ARNP
• Carrie Jo Sayre, PHARMD
• St Luke's Jones Regional Medical Center (Unitypoint Health-Family Medicine Clinic-Belle Plaine)
• State University of Iowa (UI Family Care Center)
• Sharon Steen, MD
• Robert A Witt, PA-C

• Family Nurse Practitioner in Belle Plaine, IA
• Providers in Belle Plaine, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.