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LYNN VAN WAGNEN MD PC
NPI 1396973129
Internal Medicine in Jackson, MI

Active since July 01, 2009CLIA 23D0868019 · Waiver
1310 GREENWOOD AVE, JACKSON, MI 49203(517) 787-1990(517) 787-9183 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lynn Van Wagnen Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNN VAN WAGNEN MD PC (NPI 1396973129) is a healthcare organization registered as an internal medicine in Jackson, Michigan and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lynn Clark Van Wagnen, Physician, as its authorized official.

NPPES Registry Identity

NPI1396973129
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLYNN VAN WAGNEN MD PC
Location Address1310 GREENWOOD AVEJackson, MI 49203-3077
Mailing Address1310 Greenwood AveJackson, MI 49203-3077 · (517) 787-1990 · Fax (517) 787-9183
Phone(517) 787-1990
Fax(517) 787-9183
Organization SubpartNo
Authorized OfficialLynn Clark Van WagnenPhysician · (517) 787-1990
Enumeration DateJuly 1, 2009
Last NPPES UpdateJuly 27, 2009
✔ NPI 1396973129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 038051
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1310 GREENWOOD AVE, Jackson, MI 49203
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0868019

Dr Lynn C Vanwagnen MD · Jackson, MI
Active · expires Aug 31, 2026
CLIA Number23D0868019
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLynn C. Van Wagnen
Laboratory Phone(517) 787-1990
Laboratory LocationDr Lynn C Vanwagnen MD1310 Greenwood Avenue, Jackson, MI 49203
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON VAN WAGNEN MD PLLC
Internal Medicine
1310 GREENWOOD AVE
JACKSON, MI 49203
Jackson County (517) 787-1990
TARA ZIECINA FNP-C
Nurse Practitioner (Family)
1310 GREENWOOD AVE
JACKSON, MI 49203
Jackson County (517) 962-0123
BENCY MATHAI MD PLLC
Clinic/Center
1310 GREENWOOD AVE
JACKSON, MI 49203
Jackson County (517) 960-3966
DR. AARON MICHAEL VANWAGNEN MD
Internal Medicine
1310 GREENWOOD AVE
JACKSON, MI 49203
Jackson County (517) 787-1990
MRS. SUSAN ELLEN BECK C.P.N.P.
Nurse Practitioner (Pediatrics)
1310 GREENWOOD AVE
JACKSON, MI 49203
Jackson County (517) 962-0123
ALI ORANDI M.D., PLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1310 GREENWOOD AVE, SUITE 20
JACKSON, MI 49203
Jackson County (517) 990-0029
DAVID LEE HALSEY MD
Internal Medicine
1310 GREENWOOD AVE, STE #6
JACKSON, MI 49203
Jackson County (517) 787-2232
W. A. FOOTE MEMORIAL HOSPITAL, INC.
Clinical Medical Laboratory
1310 GREENWOOD AVE
JACKSON, MI 49203
Jackson County (517) 205-2102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynn Van Wagnen MD PC's NPI number?

The NPI number for Lynn Van Wagnen MD PC is 1396973129. It was assigned to this organization in the NPPES registry on July 1, 2009.

Where is Lynn Van Wagnen MD PC located?

Lynn Van Wagnen MD PC is located at 1310 Greenwood Ave, Jackson, MI 49203. The listed phone number is (517) 787-1990.

What is Lynn Van Wagnen MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lynn Van Wagnen MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0868019) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lynn Van Wagnen MD PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lynn Van Wagnen MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lynn Van Wagnen MD PC was last updated on July 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.