Lynn Van Wagnen MD PC
Lynn Van Wagnen MD PC is a healthcare organization registered as Internal Medicine Physician in Jackson, MI, holding Type 2 (organization) NPI 1396973129 since 2009. The authorized official on file is Lynn Van Wagnen, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396973129 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lynn Van Wagnen MD PC |
| Practice address | 1310 GREENWOOD AVE, Jackson, MI, 49203 |
| Phone | 5177871990 |
| Fax | 5177879183 |
| Enumeration date | 2009-07-01 |
| Last updated in NPPES | 2009-07-27 |
Authorized official
| Name | Lynn Van Wagnen |
|---|---|
| Title | Physician |
| Phone | 5177871990 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | 038051 | MI |
Copy-ready billing details
Provider: Lynn Van Wagnen MD PC NPI: 1396973129 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 1310 GREENWOOD AVE, Jackson, MI, 49203
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1609833359 | Lynn Vanwagnen | Individual | Internal Medicine Physician | Jackson, MI |
| 1457319832 | David Halsey | Individual | Internal Medicine Physician | Jackson, MI |
| 1265533764 | Susan Beck | Individual | Pediatric Nurse Practitioner | Jackson, MI |
| 1881768810 | Ali Orandi | Individual | Endocrinology, Diabetes & Metabolism Physician | Jackson, MI |
| 1245305044 | Aaron Vanwagnen | Individual | Internal Medicine Physician | Jackson, MI |
| 1376681379 | Ali Orandi M.D., Plc | Organization | Endocrinology, Diabetes & Metabolism Physician | Jackson, MI |
| 1194967166 | Bency Mathai MD Pllc | Organization | Clinic/Center | Jackson, MI |
| 1013145846 | Aaron Van Wagnen MD Pllc | Organization | Internal Medicine Physician | Jackson, MI |
Verify this record
Cross-check NPI 1396973129 against the authoritative CMS record: view Lynn Van Wagnen MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-07-27.