Vanessa Jo Waldvogel

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5601011706 Issued in MI

Practice address

420 N Main St Ste 600
Chelsea, MI 48118-1703

Phone

(734) 385-7255

Fax

(734) 274-4925

NPI assigned

Mar 22, 2022

Sex

Female

Sole proprietor

No

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 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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Adult and Pediatric Dermatology PLLCGroup PAC ID 8123261369, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vwaldvogel@adultandpedderm.emadirect.md

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.

• Adult & Pediatric Dermatology PLLC

  • Dermatology Physician
  • Chelsea, MI
  • NPI 1952749376
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Grand Rapids, MI
  • NPI 1912347923
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Ypsilanti, MI
  • NPI 1043141195
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Chelsea, MI
  • NPI 1356272413
  NPD (past)
• Sheth Dermatology, P.C.

  • Dermatology Physician
  • Orland Park, IL
  • NPI 1922482090
  NPD (past)

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

• St Joseph Mercy Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443
  Care Compare affiliation

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1033868419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST STE 600",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181703",
            "telephone_number": "734-385-7255",
            "fax_number": "734-274-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST STE 600",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181703",
            "telephone_number": "734-385-7255",
            "fax_number": "734-274-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDVOGEL",
        "first_name": "VANESSA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5601011706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Vogel, CPHT
• Susan Ruth Vredeveld, OTR
• Mary Wagner
• Kelsey Wagoner, PT, DPT
• Jarred Waite
• Emma Walz
• Kathryn Walz, LMSW
• Jacob Wasag
• Elizabeth Sang Watson, OTR
• James Allen Watson, DDS

• Dermatology Physician in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.