Individual provider Active NPI

Lance D. Mueggenborg, ARNP

  • Nurse Practitioner
  • Chelsea, MI
National Provider Identifier
1811339146
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704258752 Issued in MI
Practice address
1145 S Main St
Chelsea, MI 48118-1408
Phone
(517) 205-2165
NPI assigned
Jul 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 4704258752 MI Primary

Addresses

Primary practice location

1145 S Main St
Chelsea, MI 48118-1408

Mailing address

1145 S Main St
Chelsea, MI 48118-1408
Phone (517) 205-2165

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
I20131118001657 MI Practitioner - Nurse Practitioner 5092941211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

130 N Sherman St
Henry Ford Allegiance Family Medicine Lesl
Leslie, MI 49251-9409
Phone (517) 205-2500

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc Nurse Practitioner CurrentSince Dec 17, 2020 Accepting new patients
Boone County Hospital Past Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients
Mercy Clinics, Inc. Past Accepting new patients

Locations

1401 W North St
Jackson, MI 49202
Phone (517) 205-2555

400 Hinckley Blvd
Ste 100
Jackson, MI 49203
Phone (517) 205-8991

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Interoperability endpoints

  • Direct secure messaging: lmueggenborg708762@direct.hfhs.org

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 and National Provider Directory roles.

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1811339146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181408",
            "telephone_number": "517-205-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181408",
            "telephone_number": "517-205-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUEGGENBORG",
        "first_name": "LANCE",
        "middle_name": "D.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704258752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.