Individual provider Active NPI

Alyson Vigneau, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1639613730
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704284982 Issued in MI
Practice address
5111 Auto Club Dr FL 3
Dearborn, MI 48126-2749
Phone
(313) 317-2000
NPI assigned
Dec 7, 2016
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9712 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704284982 MI Primary

Addresses

Primary practice location

5111 Auto Club Dr FL 3
Dearborn, MI 48126-2749

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4553

Other practice location 1

13128 N 94th Dr Ste 100
Peoria, AZ 85381-4252
Phone (623) 876-8816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170118002987 AZ Practitioner - Nurse Practitioner 3779865233 Reassigns benefits to 2 organizations
I20250703003541 MI Practitioner - Nurse Practitioner 3779865233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

5500 Auto Club Dr
Dearborn, MI 48126-2779
Phone (313) 425-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP9712AZMDFamily Nurse Practitioner
4704284982MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Brian S Page DO LLC CurrentSince Jan 5, 2017 Accepting new patients
Joseph a Caplan MD PC CurrentSince Mar 5, 2018 Accepting new patients
Brian S Page DO LLC CurrentSince Jan 5, 2017 Accepting new patients
Henry Ford Health System CurrentSince Jun 1, 2025 Accepting new patients

Locations

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

5651 W Talavi Blvd
Ste 160
Glendale, AZ 85306

13128 N 94th Dr
Ste 100
Peoria, AZ 85381
Phone (623) 259-5900

13460 N 94th Dr
Ste J1
Peoria, AZ 85381

3233 W Peoria Ave
Ste 106
Phoenix, AZ 85029
Phone (480) 462-6628

4425 E Agave Rd
Phoenix, AZ 85044
Phone (480) 274-4860

9520 W Palm Ln
Ste 150
Phoenix, AZ 85037
Phone (602) 584-5444

14420 W Meeker Blvd
Ste 305
Sun City West, AZ 85375
Phone (480) 772-9049

5111 Auto Club Dr
Fl 3
Dearborn, MI 48126
Phone (313) 317-2000

1 Ford Pl
#3A
Detroit, MI 48202
Phone (313) 874-6347

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-4806

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1639613730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4553",
            "fax_number": "517-803-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 AUTO CLUB DR FL 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262749",
            "telephone_number": "313-317-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13128 N 94th Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814252",
            "country_code": "US",
            "telephone_number": "623-876-8816",
            "fax_number": "623-298-0168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGNEAU",
        "first_name": "ALYSON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9712",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704284982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.