Individual provider Active NPI

Christine Vesnaugh, MSN

  • Adult Health Nurse Practitioner
  • Center Line, MI
National Provider Identifier
1538447453
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704234874 Issued in MI
Practice address
8033 E 10 Mile Rd
Suite 101
Center Line, MI 48015-1427
Phone
(586) 977-2900
Fax
(586) 977-2992
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704234874 MI Primary

Addresses

Primary practice location

8033 E 10 Mile Rd
Suite 101
Center Line, MI 48015-1427

Mailing address

8033 E 10 Mile Rd
Suite 101
Center Line, MI 48015-1427
Phone (586) 977-2900

Other names 1

  • Christine Bower Former name

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
I20120214000782 MI Practitioner - Nurse Practitioner 5294993606 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704234874MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince May 1, 2023 Accepting new patients
Vpa PC CurrentSince May 1, 2023 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Apr 1, 2013 Accepting new patients
Henry Ford Health St. John Hospital Adult Health CurrentSince Apr 1, 2013 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

5575 Conner St
Detroit, MI 48213
Phone (313) 579-4555

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: cvesnaugh1156574@direct.hfhs.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1538447453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD",
            "address_2": "SUITE 101",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151427",
            "telephone_number": "586-977-2900",
            "fax_number": "586-977-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD",
            "address_2": "SUITE 101",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151427",
            "telephone_number": "586-977-2900",
            "fax_number": "586-977-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESNAUGH",
        "first_name": "CHRISTINE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704234874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BOWER",
            "credential": "MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Center Line, MI

Sources for this page

Verify at the official NPI Registry.