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NICHOLAS JAMES WALDVOGEL
NPI 1467035907
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 03, 2021PECOS Enrolled
1500 E MEDICAL CENTER DRIVE, UH SOUTH F-6245, ANN ARBOR, MI 48109(734) 764-6879 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2025, May 2, 2023, May 3, 2021 (3 updates tracked since 2021).

About Nicholas James Waldvogel NPPES

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

NICHOLAS JAMES WALDVOGEL (NPI 1467035907) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351050782) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467035907
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS JAMES WALDVOGEL
Location Address1500 E MEDICAL CENTER DRIVE, UH SOUTH F-6245Ann Arbor, MI 48109
Mailing Address600 S Paulina St Ste 403Chicago, IL 60612-3806
Phone(734) 764-6879
Sole ProprietorYes
Enumeration DateMay 3, 2021
Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1467035907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351050782
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 4301512691 (MI)
1500 E MEDICAL CENTER DRIVE, UH SOUTH F-6245, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas James Waldvogel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Waldvogel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bronson-Acadia Joint Venture, LLC
75 mi
Psychiatric Hospital
5550 GLENN CROSS ROAD
Battle Creek, MI 49015
  • Reassigned Medicare billing, Michigan enrollment
  • 25 clinicians in this Medicare group
NPI 1083337372 (615) 861-6000

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

Other Providers at the Same Location NPPES 5

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

PRIYANKA ALGU
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, UH SOUTH F-6245
ANN ARBOR, MI 48109
Washtenaw County (734) 764-4231
CAN BESER
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, UH SOUTH F-6245
ANN ARBOR, MI 48109
Washtenaw County (734) 883-5718
IAN DORNEY
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, UH SOUTH F-6245
ANN ARBOR, MI 48109
Washtenaw County (734) 764-4231
KATHLEEN ELIZABETH WILSON MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, UH SOUTH F-6245
ANN ARBOR, MI 48109
Washtenaw County (734) 764-4231
PRIYANKA KALE MD, MPH
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, UH SOUTH F-6245
ANN ARBOR, MI 48109
Washtenaw County (734) 764-4231

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 Nicholas Waldvogel's NPI number?

The NPI number for Nicholas Waldvogel is 1467035907. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Nicholas Waldvogel located?

Nicholas Waldvogel practices at 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109. The listed phone number is (734) 764-6879.

What is Nicholas Waldvogel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Waldvogel enrolled in Medicare?

Yes. Nicholas Waldvogel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Waldvogel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Waldvogel reassigns Medicare benefits to Bronson-Acadia Joint Venture, LLC (Battle Creek, MI). The 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 Nicholas Waldvogel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Waldvogel was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.