Active NPI
Deanna Wennberg, FNP-C
- Family Nurse Practitioner
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704242410
- Practice address
- 1215 E. Michigan Avenue
Lansing, MI 48912 - Phone
- (517) 364-1000
- NPI assigned
- Mar 8, 2016
- Last updated
- Dec 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704242410 | MI | Primary |
Addresses
Primary practice location
1215 E. Michigan Avenue
Lansing, MI 48912
Mailing address
1200 E Michigan Ave Ste 101
Lansing, MI 48912-1800
Phone (517) 364-5552
Other practice location 1
2682 E Grand River Ave
East Lansing, MI 48823-5608
Phone (517) 333-6562
Other practice location 2
800 E Columbia St
Mason, MI 48854-1381
Phone (517) 244-8900
Other practice location 3
1120 E Michigan Ave Ste A
Lansing, MI 48912-1810
Phone (517) 364-9790
Other practice location 4
1015 Charlevoix Dr
Grand Ledge, MI 48837-2278
Phone (517) 627-0100
Other practice location 5
2682 E Grand River Ave
East Lansing, MI 48823-5608
Phone (517) 333-6562
Other practice location 6
1200 E Michigan Ave Ste 101
Lansing, MI 48912-1800
Phone (517) 364-5552
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Edward W Sparrow Hospital Association
Practice addresses (Care Compare)
2900 Hannah Blvd
East Lansing, MI 48823-5384
Phone (517) 364-5552
2900 Hannah Blvd
Suite 212
East Lansing, MI 48823-5382
Phone (517) 364-8890
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704242410 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Nurse Practitioner | Current | Accepting new patients |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308
2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352
2900 Hannah Blvd
Ste 212
East Lansing, MI 48823
Phone (517) 319-1831
1015 Charlevoix Dr
Grand Ledge, MI 48837
Phone (517) 627-0100
1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1004 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-9790
1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777
1200 E Michigan Ave
Ste 101
Lansing, MI 48912
Phone (517) 364-5552
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
Interoperability endpoints
- dwennberg50348@sparrowdirecthie.org
Organizations & group practices 9
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.
-
dba Sparrow Pre-Anesthesia Testing Clinic
- Multi-Specialty Clinic/Center
- Lansing, MI
- NPI 1023659802
Nurse Practitioner
-
dba Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
dba University of Michigan Health-Sparrow
- Internal Medicine Physician
- Carson City, MI
- NPI 1598490542
-
dba University of Michigan Health-Sparrow Ionia
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
dba Sparrow Urgent Care
- Urgent Care Clinic/Center
- East Lansing, MI
- NPI 1477509313
-
dba University of Michigan Health-Sparrow
- Rural Health Clinic/Center
- Carson City, MI
- NPI 1013987833
-
dba University of Michigan Health-Sparrow
- Cardiovascular Disease Physician
- Carson City, MI
- NPI 1063245694
-
dba Sparrow Medical Group Ionia
- Family Medicine Physician
- Ionia, MI
- NPI 1033271143
-
dba Sparrow Cardiovascular & Thoracic Surgeons
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
- NPI 1033162326
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1053772830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E MICHIGAN AVE STE 101",
"city": "LANSING",
"state": "MI",
"postal_code": "489121800",
"telephone_number": "517-364-5552",
"fax_number": "517-364-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E. MICHIGAN AVENUE",
"city": "LANSING",
"state": "MI",
"postal_code": "48912",
"telephone_number": "517-364-1000"
}
],
"practiceLocations": [
{
"address_1": "2682 E Grand River Ave",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488235608",
"country_code": "US",
"telephone_number": "517-333-6562",
"fax_number": "517-333-6563",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E Columbia St",
"address_purpose": "LOCATION",
"city": "Mason",
"state": "MI",
"postal_code": "488541381",
"country_code": "US",
"telephone_number": "517-244-8900",
"fax_number": "517-244-8911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 E Michigan Ave Ste A",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489121810",
"country_code": "US",
"telephone_number": "517-364-9790",
"fax_number": "517-364-9791",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1015 Charlevoix Dr",
"address_purpose": "LOCATION",
"city": "Grand Ledge",
"state": "MI",
"postal_code": "488372278",
"country_code": "US",
"telephone_number": "517-627-0100",
"fax_number": "517-627-0150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2682 E Grand River Ave",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488235608",
"country_code": "US",
"telephone_number": "517-333-6562",
"fax_number": "517-333-6563",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 E Michigan Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489121800",
"country_code": "US",
"telephone_number": "517-364-5552",
"fax_number": "517-364-5544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENNBERG",
"first_name": "DEANNA",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704242410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.