Edwin Vazquez

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704311697 Issued in MI

Practice address

120 E Warwick Dr
Alma, MI 48801-1010

Phone

(989) 463-2779

Fax

(989) 463-2064

NPI assigned

Sep 24, 2025

Last updated

Sep 24, 2025By the provider in NPPES

Sex

Male

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

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Psychiatric and Counseling Center, PCGroup PAC ID 1153228721, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edwin.vazquez.1@24246.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24246/brand/1/csg/1/fhir/r4

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.

• Family Health Psychiatric & Counseling Center, PC

  • Counseling Psychologist
  • Alma, MI
  • NPI 1487703567
  Medicare reassignment Care Compare group NPD
• Gratiot Integrated Health Network

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alma, MI
  • NPI 1710049242
  Medicare reassignment NPD
• Healthy Transitions LLC

  • Adult Care Home Facility
  • Alma, MI
  • NPI 1275301756
  NPD

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

• Mymichigan Medical Center Clare

  • General Acute Care Hospital
  • Clare, MI
  • NPI 1568414589
  Care Compare affiliation

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1386517761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011010",
            "telephone_number": "989-463-2779",
            "fax_number": "989-463-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011010",
            "telephone_number": "989-463-2779",
            "fax_number": "989-463-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "EDWIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704311697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen Vandriessche
• Hona R Vanschagen, RN
• Angel Lou Vanskike
• Alyssa Nicole Vasquez, LLPC
• Love Vavzincak
• Gerardine Villanueva, MD
• Jessica Lynn Vinciguerra
• Shelby Lee Vonlinsowe
• Samantha L Vreeland
• Cara Waite

• Psychiatric/Mental Health Nurse Practitioner in Alma, MI
• Providers in Alma, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.