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

Active since July 01, 2009
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: November 01, 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 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
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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 Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynn Van Wagnen Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lynn Van Wagnen MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lynn Vanwagnen, MD
Internal Medicine
NPI 1609833359
1310 GREENWOOD AVE
Jackson, MI 49203
(517) 787-1990
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Lynn Van Wagnen MD PC enrolled in Medicare?

Yes. Lynn Van Wagnen MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lynn Van Wagnen MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lynn Van Wagnen MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lynn Van Wagnen MD PC accept?

Health plans from 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.