Individual provider Active NPI

Vanessa Wieferich, NP

  • Nurse Practitioner
  • Alma, MI
National Provider Identifier
1699440206
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704241558 Issued in MI
Practice address
300 E Warwick Dr
Alma, MI 48801-1014
Phone
(989) 956-9069
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704241558 MI Primary

Addresses

Primary practice location

300 E Warwick Dr
Alma, MI 48801-1014

Mailing address

1750 E Bellows St
Mt Pleasant, MI 48858-3872

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
I20210820001277 MI Practitioner - Nurse Practitioner 7113322660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians

Practice addresses (Care Compare)

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018

4851 E Pickard St
Suite 1000
Mt Pleasant, MI 48858-2041
Phone (989) 956-9069

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704241558MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Clare Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Mar 21, 2023 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jan 4, 2023 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Aug 19, 2021 Accepting new patients
Mymichigan Medical Center Midland Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Aug 19, 2021 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jan 4, 2023 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Mar 21, 2023 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
West Branch Regional Medical Center Current Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

3051 Kiesel Rd
Bay City, MI 48706
Phone (989) 778-2888

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4851 E Pickard St
Ste 1000
Mt Pleasant, MI 48858
Phone (989) 956-9069

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Organizations & group practices 10

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 4

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1699440206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E BELLOWS ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011014",
            "telephone_number": "989-956-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEFERICH",
        "first_name": "VANESSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704241558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.