Individual provider Active NPI

Heather Vogel, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Bingham Farms, MI
National Provider Identifier
1376339903
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704322360 Issued in MI
Practice address
30100 Telegraph Rd Ste 341
Bingham Farms, MI 48025-5804
Phone
(312) 967-6619
Fax
(313) 800-7557
NPI assigned
Apr 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 4704322360 MI Primary

Addresses

Primary practice location

30100 Telegraph Rd Ste 341
Bingham Farms, MI 48025-5804

Mailing address

30100 Telegraph Rd Ste 341
Bingham Farms, MI 48025-5804
Phone (312) 967-6619

Other practice location 1

4800 S Saginaw St
Flint, MI 48507-2677
Phone (810) 275-9153

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
I20250715002858 MI Practitioner - Nurse Practitioner 8628583960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jawad a Shah MD PCGroup PAC ID 5799779633, 89 clinicians

Practice addresses (Care Compare)

4800 S Saginaw St
Flint, MI 48507-2677

Hospital & facility affiliations

  • Southeast Michigan Surgical Hospital LLC Hospital, Warren, MI, CCN 230264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4704322360MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Shah, MD PC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Jawad a Shah MD PC CurrentSince Jun 1, 2025 Accepting new patients
Brennan Behavioral Group PLLC Single Specialty PastSince Mar 19, 2023 Accepting new patients

Locations

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

Organizations & group practices 3

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": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1376339903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD STE 341",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255804",
            "telephone_number": "312-967-6619",
            "fax_number": "313-800-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD STE 341",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255804",
            "telephone_number": "312-967-6619",
            "fax_number": "313-800-7557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 S Saginaw St",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485072677",
            "country_code": "US",
            "telephone_number": "810-275-9153",
            "fax_number": "810-213-0279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "HEATHER",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704322360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.