Individual provider Active NPI

Mai G Vang, NP

  • Adult Health Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1851967434
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704314177 Issued in MI
Practice address
1550 Watertower PL Ste 500
East Lansing, MI 48823-8053
Phone
(517) 333-6060
Fax
(517) 333-6068
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704314177 MI Primary

Addresses

Primary practice location

1550 Watertower PL Ste 500
East Lansing, MI 48823-8053

Mailing address

1550 Watertower PL Ste 500
East Lansing, MI 48823-8053
Phone (517) 333-6060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mvang@redcedar.health Direct

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
I20210809001799 MI Practitioner - Nurse Practitioner 2466856737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer and Hematology Centers of Western Mi, P.C.Group PAC ID 4082526793, 109 clinicians

Practice addresses (Care Compare)

145 Michigan St NE
Suite 3100
Grand Rapids, MI 49503-2563
Phone (616) 954-9800

1501 Kyle St
Eaton Rapids, MI 48827-8949
Phone (517) 333-6060

1550 Watertower PL
Suite 500
East Lansing, MI 48823-8053
Phone (517) 333-6060

710 Kenmoor Ave SE
Suite 200
Grand Rapids, MI 49546-2379
Phone (616) 389-1800

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Eaton Rapids Medical Center Hospital, Eaton Rapids, MI, CCN 231324
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704314177MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carol R Rapson MD PC CurrentSince Jul 12, 2021 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Mar 27, 2024 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. PastSince Mar 27, 2024 Accepting new patients

Locations

1550 Watertower Pl
Ste 500
East Lansing, MI 48823
Phone (517) 333-6060

1550 Watertower Pl
East Lansing, MI 48823
Phone (517) 333-6060

1501 Kyle St
Eaton Rapids, MI 48827
Phone (517) 663-3344

145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800

5800 Foremost Dr SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 954-5554

5800 Foremost Dr SE
Ste 300
Grand Rapids, MI 49546
Phone (616) 389-1725

Organizations & group practices 3

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 10

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1851967434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 WATERTOWER PL STE 500",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238053",
            "telephone_number": "517-333-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 WATERTOWER PL STE 500",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238053",
            "telephone_number": "517-333-6060",
            "fax_number": "517-333-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "MAI",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704314177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvang@redcedar.health",
            "affiliation": "N",
            "endpointDescription": "mvang@redcedar.health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1550 Watertower Pl Ste 500",
            "city": "East Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488238053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.