Individual provider Active NPI

Angela Lynn Wandell, FNP

  • Family Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1952035115
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704270110 Issued in MI
Practice address
32605 W 12 Mile Rd Ste 195
Farmington Hills, MI 48334-3390
Phone
(313) 306-2023
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704270110 MI Primary

Addresses

Primary practice location

32605 W 12 Mile Rd Ste 195
Farmington Hills, MI 48334-3390

Mailing address

1689 Haynor Rd
Ionia, MI 48846-8507
Phone (616) 902-1909

Other practice location 1

32605 W 12 Mile Rd
Farmington Hills, MI 48334-3337
Phone (313) 306-3023

Other names 1

  • Angela Lynn Stoddard Former name

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
I20220728001932 MI Practitioner - Nurse Practitioner 0547642126 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Grand Rapids, MI 49546
Phone (616) 942-7400

2682 E Grand River Ave
Sparrow Urgent Care East Lansing
East Lansing, MI 48823-5608
Phone (517) 333-6562

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Dec 5, 2025 Accepting new patients
Sparrow Carson Hospital CurrentSince May 1, 2025 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Ionia Hospital Family CurrentSince May 1, 2025 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince May 1, 2025 Accepting new patients
Ih Physician Services PC CurrentSince May 5, 2025 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince May 1, 2025 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Sparrow Ionia Hospital CurrentSince May 1, 2025 Accepting new patients
Vpa PC CurrentSince Dec 5, 2025 Accepting new patients
Sparrow Carson Hospital CurrentSince May 1, 2025 Accepting new patients
Ih Physician Services, PC CurrentSince May 5, 2025 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308

616 Meijer Dr
Charlotte, MI 48813
Phone (517) 541-5935

39425 Garfield Rd
Ste 22A
Clinton Township, MI 48038
Phone (586) 649-3181

2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352

1015 Charlevoix Dr
Grand Ledge, MI 48837
Phone (517) 627-0100

3333 Deposit Dr NE
Ste 240
Grand Rapids, MI 49546
Phone (248) 824-6500

695 Kenmoor Ave SE
Ste B1
Grand Rapids, MI 49546
Phone (616) 438-9902

1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1004 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-9790

1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

26211 Central Park Blvd
Ste 600
Southfield, MI 48076
Phone (248) 936-2075

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

Interoperability endpoints

  • Direct secure messaging: awandell@landmarkhealth-direct.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1952035115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 HAYNOR RD",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488468507",
            "telephone_number": "616-902-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 W 12 MILE RD STE 195",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343390",
            "telephone_number": "313-306-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32605 W 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483343337",
            "country_code": "US",
            "telephone_number": "313-306-3023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANDELL",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704270110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "STODDARD",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.