1. Home
  2. Directory
  3. Michigan
  4. Jackson
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LENAE E VANWAGNEN M.D.
NPI 1689626400
Pediatrics in Jackson, MI

Active since May 17, 2006CLIA 23D2320620 · Waiver
1310 GREENWOOD AVE LOWR LEVEL, JACKSON, MI 49203(517) 962-0123(517) 201-8067 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2025, Dec 18, 2020 (2 updates tracked since 2020).

About Dr. Lenae E Vanwagnen M.d. NPPES

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

DR. LENAE E VANWAGNEN M.D. (NPI 1689626400) is an individual pediatrics provider in Jackson, Michigan, licensed in Michigan (4301076691) and active in the NPI registry since May 2006. She holds a CLIA Waiver certificate valid through March 20, 2027.

NPPES Registry Identity

NPI1689626400
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LENAE E VANWAGNENCredential: M.D.
Location Address1310 GREENWOOD AVE LOWR LEVELJackson, MI 49203-3077
Mailing Address1310 Greenwood Ave Lowr LevelJackson, MI 49203-3077 · (517) 962-0123 · Fax (517) 201-8067
Phone(517) 962-0123
Fax(517) 201-8067
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1689626400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301076691
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1310 GREENWOOD AVE LOWR LEVEL, Jackson, MI 49203
Open in Google Maps ↗

Other Identifiers 5

Other200000005064MI · Php
Other3503810402MI · Bcbs
Other7766500MI · Aetna
Medicaid4538139MI
Other139374MI · Preferred Choices

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 23D2320620

Lenae E Vanwagnen MD · Jackson, MI
Active · expires Mar 20, 2027
CLIA Number23D2320620
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorLenae E. Vanwagnen
Laboratory Phone(517) 962-0123
Laboratory LocationLenae E 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 2

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

MRS. JENNIFER URABE FNP
Nurse Practitioner (Family)
1310 GREENWOOD AVE LOWR LEVEL
JACKSON, MI 49203
Jackson County (517) 962-0123
LENAE E VANWAGNEN MD LLC
Pediatrics
1310 GREENWOOD AVE LOWR LEVEL
JACKSON, MI 49203
Jackson County (517) 962-0123

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 Lenae Vanwagnen's NPI number?

The NPI number for Lenae Vanwagnen is 1689626400. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Lenae Vanwagnen located?

Lenae Vanwagnen practices at 1310 Greenwood Ave Lowr Level, Jackson, MI 49203. The listed phone number is (517) 962-0123.

What is Lenae Vanwagnen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Lenae Vanwagnen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2320620) is associated with this NPI, valid through March 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lenae 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 2 other insurers list Lenae 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.

When was this NPI record last updated?

The NPPES record for Lenae Vanwagnen was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.