Individual provider Active NPI

Vanessa Lee Mann, DNP, FNP-BC

  • Family Nurse Practitioner
  • Saint Johns, MI
National Provider Identifier
1609133065
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704308880 Issued in MI
Practice address
101 W Townsend Rd
Saint Johns, MI 48879-9200
Phone
(989) 403-6022
NPI assigned
Apr 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704308880 MI Primary

Addresses

Primary practice location

101 W Townsend Rd
Saint Johns, MI 48879-9200

Mailing address

PO Box 30161
Lansing, MI 48909-7661
Phone (517) 887-4302

Other practice location 1

2316 S Cedar St
Lansing, MI 48910-3152
Phone (517) 887-4302

Other names 1

  • Vanessa Bourland 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
I20160118000570 MI Practitioner - Nurse Practitioner 1052614518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Havenwyck Hospital Inc Past Accepting new patients
Cristo Rey Community Center PastSince Dec 14, 2017 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1609133065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30161",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489097661",
            "telephone_number": "517-887-4302",
            "fax_number": "517-887-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W TOWNSEND RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799200",
            "telephone_number": "989-403-6022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2316 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489103152",
            "country_code": "US",
            "telephone_number": "517-887-4302",
            "fax_number": "517-887-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "VANESSA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704308880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "BOURLAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.