Active NPI
Bobbi Vandamme
- Nurse Practitioner
- Escanaba, MI
National Provider Identifier
1154160133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704300080
- Practice address
- 3409 Ludington St Ste 100
Escanaba, MI 49829-4213 - Phone
- (906) 399-4450
- NPI assigned
- May 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 4704300080 | MI | |
| Registered Nurse | 163W00000X | 4704300080 | MI | |
| Nurse Practitioner | 363L00000X | 4704300080 | MI | Primary |
Addresses
Primary practice location
3409 Ludington St Ste 100
Escanaba, MI 49829-4213
Mailing address
3409 Ludington St Ste 100
Escanaba, MI 49829-4213
Phone (906) 789-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Francis Hospital
Practice addresses (Care Compare)
3409 Ludington St
Escanaba, MI 49829-4213
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704300080 | MI | MD | Nurse Practitioner |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1154160133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 LUDINGTON ST STE 100",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498294213",
"telephone_number": "906-789-4414",
"fax_number": "906-789-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3409 LUDINGTON ST STE 100",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498294213",
"telephone_number": "906-399-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDAMME",
"first_name": "BOBBI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-21",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MI",
"license": "4704300080",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704300080",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704300080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.