Active NPI
Lenae E Vanwagnen MD LLC
- Pediatrics Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- LENAE E VANWAGNEN MD LLC
- Practice address
- 1310 Greenwood Ave Lowr Level
Jackson, MI 49203-3077 - Phone
- (517) 962-0123
- Fax
- (517) 201-8067
- NPI assigned
- Mar 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lenae Elizabeth Vanwagnen, MD
- Title
- Owner
- Phone
- (517) 962-0123
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1310 Greenwood Ave Lowr Level
Jackson, MI 49203-3077
Mailing address
1310 Greenwood Ave
Jackson, MI 49203-3077
Phone (517) 962-0123
Other names 1
- Bright Beginnings Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2320620 | Lenae E Vanwagnen MD | Certificate of waiver | Mar 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
1310 Greenwood Ave
Jackson, MI 49203
Phone (517) 787-1990
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Jackson, MI
- NPI 1689626400
-
- Pediatric Nurse Practitioner
- Jackson, MI
- NPI 1265533764
-
- Family Nurse Practitioner
- Jackson, MI
- NPI 1639545932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782864000000",
"number": "1811798697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 GREENWOOD AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033077",
"telephone_number": "517-962-0123",
"fax_number": "517-201-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 GREENWOOD AVE LOWR LEVEL",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033077",
"telephone_number": "517-962-0123",
"fax_number": "517-201-8067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENAE E VANWAGNEN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-19",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "VANWAGNEN",
"authorized_official_first_name": "LENAE",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-962-0123",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bright Beginnings Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bright Beginnings Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.