Individual provider Active NPI

Vanessa R Stadel, NP

  • Family Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1154088904
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704286917 Issued in MI
Practice address
629 Pioneer St
Kalamazoo, MI 49008-1807
Phone
(269) 210-7566
Fax
(269) 381-4050
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704286917 MI Primary

Addresses

Primary practice location

629 Pioneer St
Kalamazoo, MI 49008-1807

Mailing address

629 Pioneer St
Kalamazoo, MI 49008-1807
Phone (269) 743-4129

Other practice location 1

240 W Carleton Rd
Hillsdale, MI 49242-5034
Phone (517) 437-7040

Other names 1

  • Vanessa R Jeffers 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
I20220106002902 MI Practitioner - Nurse Practitioner 5193116853 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsdale Community Health CenterGroup PAC ID 7214846260, 66 clinicians

Practice addresses (Care Compare)

240 W Carleton Rd
Hillsdale Health and Wellness
Hillsdale, MI 49242-5034
Phone (517) 437-7040

629 Pioneer St
Kalamazoo, MI 49008-1807
Phone (269) 381-2437

Hospital & facility affiliations

  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsdale Community Health Center CurrentSince Jun 1, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Oct 24, 2022 Accepting new patients
Community AIDS Resource and Education Services of Southwest Michigan CurrentSince May 24, 2024 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Oct 24, 2022 Accepting new patients
Hospice Advantage, LLC Family CurrentSince Nov 21, 2021 Accepting new patients
Hospice Advantage, LLC Family CurrentSince Nov 21, 2021 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Hillsdale Community Health Center CurrentSince Jun 1, 2023 Accepting new patients
Western Michigan University School of Medicine PastSince May 24, 2024 Accepting new patients

Locations

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

240 W Carleton Rd
#A
Hillsdale, MI 49242

1456 Hudson Rd
Hillsdale, MI 49242
Phone (517) 439-0200

240 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-7040

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

629 Pioneer St
Kalamazoo, MI 49008
Phone (269) 381-2437

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

801 S Waverly Rd
Ste 200
Lansing, MI 48917
Phone (517) 300-0340

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Interoperability endpoints

  • Direct secure messaging: vjeffers567816@direct.parkviewexchange.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1154088904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 PIONEER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081807",
            "telephone_number": "269-743-4129",
            "fax_number": "269-381-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 PIONEER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081807",
            "telephone_number": "269-210-7566",
            "fax_number": "269-381-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 W Carleton Rd",
            "address_purpose": "LOCATION",
            "city": "Hillsdale",
            "state": "MI",
            "postal_code": "492425034",
            "country_code": "US",
            "telephone_number": "517-437-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STADEL",
        "first_name": "VANESSA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704286917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "JEFFERS",
            "middle_name": "R",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.