Amy Sue Vandenberg, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704212043 Issued in MI

Practice address

521 E Michigan Ave Ste 102
Kalamazoo, MI 49007-3889

Phone

(269) 349-6759

NPI assigned

Jan 12, 2022

Sex

Female

Sole proprietor

Yes

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Health PCGroup PAC ID 1658283007, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
• Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339
• Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
• Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
• Beacon Allegan Hospital, Allegan, MI, CCN 231328

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Paragon Health, PC

  • Nephrology Physician
  • Kalamazoo, MI
  • NPI 1083678767
  Medicare reassignment Care Compare group NPD
• Paragon Health PC

  • Pediatrics Physician
  • Portage, MI
  • NPI 1427848845
  NPD

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

• Ascension Borgess Allegan Hospital

  • Critical Access Hospital
  • Allegan, MI
  • NPI 1295803377
  Care Compare affiliation
• Ascension Borgess Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Care Compare affiliation
• Bronson Battle Creek Hospital

  • General Acute Care Hospital
  • Battle Creek, MI
  • NPI 1083644579
  Care Compare affiliation
• Bronson Methodist Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1831116441
  Care Compare affiliation
• Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1477204394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 BAYVIEW DR",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493488826",
            "telephone_number": "616-893-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E MICHIGAN AVE STE 102",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073889",
            "telephone_number": "269-349-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBERG",
        "first_name": "AMY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704212043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lynn Van Winkle, PA-C
• Tanner Layne Van Wyhe
• Carol Ann Vanantwerp, PNP
• Vicki L Vanas, MA LLP
• Emrielle Vancleave, LMFT
• Abigail Vandenbroeck
• Heather Lynne Vandenbussche, PHARM.D.
• Michele Marie Vander Beek, OTR/L
• Steven Vanderbor
• Yazmene Vanderbor, LLMSW

• Family Nurse Practitioner in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.