Nicolette Vanmaldeghem, DNP, RN, AGACNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704329215 Issued in MI

Practice address

5280 Metropolitan Pkwy
Sterling Heights, MI 48310-4005

Phone

(586) 722-7519

NPI assigned

Dec 10, 2021

Last updated

Jan 14, 2022By the provider in NPPES

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

Other names 1

• Nicolette Vanmaldeghem Professional name

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

Wayne State University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Troy Gastroenterology PCGroup PAC ID 9739143991, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nvanmaldeghem1777862@direct.trinity-health.org

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.

• Troy Gastroenterology PC

  dba Center For Digestive Health

  • Gastroenterology Physician
  • Rochester Hills, MI
  • NPI 1134180318
  Medicare reassignment Care Compare group NPD
• Michigan Kidney Consultants, P.C.

  • Nephrology Physician
  • Sterling Heights, MI
  • NPI 1831130723
  Medicare reassignment NPD
• Pinnacle Anesthesia PLLC

  • Anesthesiology Physician
  • Macomb, MI
  • NPI 1295301133
  Medicare reassignment NPD
• Troy Gastroenterology, PC

  dba Michigan Gastroenterology Institute

  • Gastroenterology Physician
  • East Lansing, MI
  • NPI 1699880591
  NPD
• Troy Gastroenterology, PC

  • Anesthesiology Physician
  • Troy, MI
  • NPI 1740232701
  NPD

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

• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1811044878
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1538828223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47450 JUNIPER RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442434",
            "telephone_number": "248-495-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 METROPOLITAN PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104005",
            "telephone_number": "586-722-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMALDEGHEM",
        "first_name": "NICOLETTE",
        "credential": "DNP, RN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704329215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "VANMALDEGHEM",
            "credential": "DNP, RN, AGACNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Peter Shane Vanderbeek, DDS
• Nikki Vang
• Tina Vang
• Cassidy Vanhaverbeck
• Souzan Vanlerberg
• Lamia Kayla Vannoy
• Kristina Marie Varacalli
• Pranavan Varatharajah
• Melissa Varghese
• Areonna Montinique Varner

• Nurse Practitioner in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.