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LYNN CLARK VANWAGNEN MD
NPI 1609833359
Internal Medicine in Jackson, MI

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
1310 GREENWOOD AVE, JACKSON, MI 49203(517) 787-1990 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lynn Clark Vanwagnen Md NPPES

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

LYNN CLARK VANWAGNEN MD (NPI 1609833359) is an individual internal medicine provider in Jackson, Michigan, licensed in Michigan (4301038051) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Wayne State University School Of Medicine (1976).

NPPES Registry Identity

NPI1609833359
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLYNN CLARK VANWAGNENCredential: MD
Location Address1310 GREENWOOD AVEJackson, MI 49203-3077
Mailing Address1310 Greenwood AveJackson, MI 49203-3077 · (517) 787-1990 · Fax (517) 787-1983
Phone(517) 787-1990
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1976
Enumeration DateApril 27, 2006
Last NPPES UpdateOctober 10, 2011
✔ NPI 1609833359 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 · 4301038051
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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Other Identifiers 4

Medicare UPINB44434MI
Medicare ID-Type UnspecifiedN53130009MI · Wa Foote Memorial
Other110241201MI · Rr Medicare
Medicaid101587882MI

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lynn Clark Vanwagnen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244136075
PECOS Enrollment IDI20091013000163
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 Reassignments

2

Medicare enrollment records show Lynn Vanwagnen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lynn Van Wagnen MD PC
Same address
Internal Medicine
1310 GREENWOOD AVE
Jackson, MI 49203
  • Reassigned Medicare billing, Michigan enrollment
NPI 1396973129 (517) 787-1990
Wa Foote Memorial Hospital Inc.
1.1 mi
Dietitian, Registered
205 N EAST AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: W.A. Foote Memorial Hospital
  • Also billed through NPI 1083971477 (Michigan), NPI 1114464377 (Michigan)
  • 474 clinicians in this Medicare group
NPI 1073955050 (517) 841-7878

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

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
671 services223 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
290 services139 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
140 services140 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
121 services104 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
115 services115 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
115 services115 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Chelsea Hospital

Acute Care Hospitals · Chelsea, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230259
Location775 S Main StChelsea, MI 48118 · Washtenaw County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
85%7,699 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%1,965 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%887 patients5/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%887 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
21%887 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
29%887 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers62 claims215 services$6.43 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers33 claims52 services$1.00 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers22 claims22 services$39.40 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers42 claims42 services$94.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers35 claims46 services$33.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers17 claims17 services$53.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
LYNN VAN WAGNEN MD PC
Internal Medicine
1310 GREENWOOD AVE
JACKSON, MI 49203
Jackson County (517) 787-1990
DAVID LEE HALSEY MD
Internal Medicine
1310 GREENWOOD AVE, STE #6
JACKSON, MI 49203
Jackson County (517) 787-2232

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 Vanwagnen's NPI number?

The NPI number for Lynn Vanwagnen is 1609833359. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Lynn Vanwagnen located?

Lynn Vanwagnen practices at 1310 Greenwood Ave, Jackson, MI 49203. The listed phone number is (517) 787-1990.

What is Lynn Vanwagnen's specialty?

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

Is Lynn Vanwagnen enrolled in Medicare?

Yes. Lynn Vanwagnen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lynn Vanwagnen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynn Vanwagnen reassigns Medicare benefits to 2 organizations: Lynn Van Wagnen MD PC (Jackson, MI) and Wa Foote Memorial Hospital Inc. (Jackson, MI). Each 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 Lynn Vanwagnen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lynn Vanwagnen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Lynn Vanwagnen 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.

Is Lynn Vanwagnen affiliated with any hospitals?

According to CMS data, Lynn Vanwagnen is affiliated with Henry Ford Allegiance Health and Chelsea Hospital.

When was this NPI record last updated?

The NPPES record for Lynn Vanwagnen was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.