Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BROOKE ISABELLA VONDAGGENHAUSEN
NPI 1790696904
Physician Assistant in Lansing, MI

Active since September 15, 2026
4540 COLLINS RD APT 3205, LANSING, MI 48910(810) 938-4020 Get Directions Write a Review

NPPES record added: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Brooke Isabella Vondaggenhausen NPPES

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

BROOKE ISABELLA VONDAGGENHAUSEN (NPI 1790696904) is an individual physician assistant in Lansing, Michigan and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1790696904
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBROOKE ISABELLA VONDAGGENHAUSEN
Location Address4540 COLLINS RD APT 3205Lansing, MI 48910-8406
Mailing Address4540 Collins Rd Apt 3205Lansing, MI 48910-8406 · (810) 938-4020
Sole ProprietorNo
Enumeration DateSeptember 15, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1790696904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4540 COLLINS RD APT 3205, Lansing, MI 48910

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 Brooke Vondaggenhausen's NPI number?

The NPI number for Brooke Vondaggenhausen is 1790696904. It was assigned to this individual provider in the NPPES registry on September 15, 2026.

Where is Brooke Vondaggenhausen located?

Brooke Vondaggenhausen practices at 4540 Collins Rd Apt 3205, Lansing, MI 48910. The listed phone number is (810) 938-4020.

What is Brooke Vondaggenhausen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Brooke Vondaggenhausen was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.