Angela G. Vondaggenhausen, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5601003425 Issued in MI

Practice address

1 Hurley PLZ
Flint, MI 48503-5902

Phone

(810) 257-9429

Fax

(810) 257-9104

NPI assigned

Mar 24, 2007

Last updated

May 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Physician Assistant

Education

Mid West Medical College, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hurley Medical Center Hospital, Flint, MI, CCN 230132

Merit-based Incentive Payment System (MIPS)

Final score

92.4 of 100Reported as group

Quality

66.97

Promoting interoperability

100

Improvement activities

40

Cost

75.88

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: avondaggenhausen5655@direct.hurleymc.com

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.

• Hurley Medical Center

  dba Hurley Physician Assistant Group

  • Physician Assistant
  • Flint, MI
  • NPI 1881620748
  Medicare reassignment Care Compare group NPD
• Hurley Medical Center

  • Plastic and Reconstructive Surgery Physician
  • Flint, MI
  • NPI 1689345761
  NPD

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

• Hurley Medical Center

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1598717480
  Care Compare affiliation

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1700903630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "5TH FLOOR S.O.N.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-762-7038",
            "fax_number": "810-760-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-257-9429",
            "fax_number": "810-257-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDAGGENHAUSEN",
        "first_name": "ANGELA",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601003425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avondaggenhausen5655@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "1 Hurley Plz",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485035902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vocational Independence Program
• Vocational Independence Program
• Jennifer Lynn Vogt, N.P.
• Grant Voisinet
• Samantha Joann Volway, OTRL
• Krupa Vora
• Nikhil K Vora, MD
• Bathinaiah Raju Vorakkara, MD
• Susan Brown Vore, PH.D.
• Vpa PC

• Surgical Physician Assistant in Flint, MI
• Providers in Flint, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.