Individual provider Active NPI

Jane Susan Waligorski, FNP-BC, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Lapeer, MI
National Provider Identifier
1033654702
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704232878 Issued in MI
Practice address
1375 N Main St
Lapeer, MI 48446-1350
Phone
(810) 667-5701
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704232878 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704232878 MI Primary

Addresses

Primary practice location

1375 N Main St
Lapeer, MI 48446-1350

Mailing address

5380 Hunters Creek Rd
Imlay City, MI 48444-9711
Phone (810) 338-3508

Other practice location 1

40600 Ann Arbor Rd E Ste 201
Plymouth, MI 48170-4675
Phone (810) 338-3508

Other names 1

  • Jane Susan Weingartz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20170310001635 MI Practitioner - Nurse Practitioner 5395029334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Lapeer RegionGroup PAC ID 8123000544, 36 clinicians

Practice addresses (Care Compare)

1200 Barry Dr
Lapeer, MI 48446-3661
Phone (810) 664-4531

Hospital & facility affiliations

  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704232878MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Lapeer Region Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 24, 2024 Accepting new patients
McLaren Lapeer Region CurrentSince Dec 19, 2022 Accepting new patients
McLaren Lapeer Region CurrentSince Dec 19, 2022 Accepting new patients
McLaren Lapeer Region Nurse Practitioner PastSince Dec 19, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

1200 Barry Dr
Ofc
Lapeer, MI 48446
Phone (810) 664-4531

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1200 Barry Dr
Lapeer, MI 48446
Phone (810) 664-4532

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1033654702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 HUNTERS CREEK RD",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449711",
            "telephone_number": "810-338-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461350",
            "telephone_number": "810-667-5701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40600 Ann Arbor Rd E Ste 201",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481704675",
            "country_code": "US",
            "telephone_number": "810-338-3508",
            "fax_number": "810-202-7557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALIGORSKI",
        "first_name": "JANE",
        "middle_name": "SUSAN",
        "credential": "FNP-BC, PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704232878",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704232878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "WEINGARTZ",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.