Agnes E Vandeputte, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704175683 Issued in MI

Practice address

790 Kensington LN
Bloomfield Hills, MI 48304-3744

Phone

(734) 241-3891

Fax

(734) 241-3891

NPI assigned

Jan 12, 2006

Last updated

Jul 13, 2026By 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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Comprehensive Anesthesia & Perioperative Services, Inc.

  • Certified Registered Nurse Anesthetist
  • Southfield, MI
  • NPI 1245202241

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Michigan Medical Anesthesia, .P,C,

  • Anesthesiology Physician
  • Flint, MI
  • NPI 1184775819
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912986449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 E DUNBAR RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619127",
            "telephone_number": "734-241-3891",
            "fax_number": "734-241-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 KENSINGTON LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043744",
            "telephone_number": "734-241-3891",
            "fax_number": "734-241-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEPUTTE",
        "first_name": "AGNES",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704175683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Van Kampen, LMSW
• Pamela Sue Van Kampen, M.ED, LPC
• Sara Lynn Van Wormer, MA, LLP
• Emanuel T Vanbolden, PHD LP
• Katherine Aileen Vance, LMSW
• Victoria Lyn Vander Velde, PA
• George Lawrence Vanderbossche, MA, LLP
• Lori Vansloten
• Jared Vanzant, DPT
• Thomas G Varbedian, M.D.

• Certified Registered Nurse Anesthetist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.