Organization Active NPI

Virtual Wellness Care, LLC

  • Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1447190020
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
VIRTUAL WELLNESS CARE, LLC
Practice address
405 W Greenlawn Ave Ste G11
Lansing, MI 48910-2889
Phone
(313) 346-4240
Fax
(313) 346-4241
NPI assigned
Mar 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Tynise Penn, DNPNPI 1073841011
Title
Owner
Phone
(313) 350-1657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

405 W Greenlawn Ave Ste G11
Lansing, MI 48910-2889

Mailing address

31355 Bretz Dr
Warren, MI 48093-5532
Phone (313) 346-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260521000354 MI Part B Supplier - Clinic/Group Practice 4284103037 Receives reassigned benefits from 1 practitioner
Practice locations: Warren, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1447190020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31355 BRETZ DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935532",
            "telephone_number": "313-346-4240",
            "fax_number": "313-346-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GREENLAWN AVE STE G11",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102889",
            "telephone_number": "313-346-4240",
            "fax_number": "313-346-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL WELLNESS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "TYNISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-350-1657",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "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 Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.