Individual provider Active NPI

Danielle Vering, PA-C

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1659105112
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012643 Issued in MI
Practice address
3394 E Jolly Rd Ste a
Lansing, MI 48910-8595
Phone
(517) 253-5100
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012643 MI Primary

Addresses

Primary practice location

3394 E Jolly Rd Ste a
Lansing, MI 48910-8595

Mailing address

3394 E Jolly Rd Ste a
Lansing, MI 48910-8595

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
I20241010001518 MI Practitioner - Physician Assistant 1153853593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Central Michigan College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northsport Physical Therapy and Rehabilitation P CGroup PAC ID 5294902508, shared by 2 NPIs, 43 clinicians

Practice addresses (Care Compare)

1210 W Saginaw St
Lansing, MI 48915-1927

1210 W Saginaw St FL
Lansing, MI 48915-1927

1622 Dickerson Rd
Gaylord, MI 49735-9206

2900 Hannah Blvd
Suite B102
East Lansing, MI 48823-5374
Phone (517) 364-8070

3394 E Jolly Rd a
SMG Orthopedics and Sport Medicine
Lansing, MI 48910-8595
Phone (517) 394-3200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601012643MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

4660 S Hagadorn Rd
Ste 310
East Lansing, MI 48823
Phone (517) 364-8890

2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050

114 N Main St
Ithaca, MI 48847
Phone (989) 875-4166

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

3394 E Jolly Rd
Ste A
Lansing, MI 48910
Phone (517) 253-5100

1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1659105112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3394 E JOLLY RD STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 E JOLLY RD STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108595",
            "telephone_number": "517-253-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERING",
        "first_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.