Lynn Van Wagnen MD PC
NPI 1396973129 · Internal Medicine Physician · Jackson, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lynn Van Wagnen MD PC is a Internal Medicine Physician organization in Jackson, MI (NPI 1396973129).
Provider details
- NPI number
- 1396973129
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lynn Van Wagnen, Physician(517) 787-1990
- License
- 038051 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-01
- Last updated
- 2009-07-27
Frequently asked questions
- What is Lynn Van Wagnen MD PC's NPI number?
- Lynn Van Wagnen MD PC's National Provider Identifier (NPI) is 1396973129, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lynn Van Wagnen MD PC?
- Lynn Van Wagnen MD PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lynn Van Wagnen MD PC located?
- Lynn Van Wagnen MD PC's practice location on file with NPPES is 1310 Greenwood Ave, Jackson, MI 49203-3077.
- What is Lynn Van Wagnen MD PC's phone number?
- The practice phone number listed in the NPPES registry for Lynn Van Wagnen MD PC is (517) 787-1990.
- Does Lynn Van Wagnen MD PC accept Medicare?
- Lynn Van Wagnen MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lynn Van Wagnen MD PC?
- The authorized official listed on Lynn Van Wagnen MD PC's NPPES record is Lynn Van Wagnen, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lynn Van Wagnen MD PC's NPI active?
- Yes — Lynn Van Wagnen MD PC's NPI (1396973129) is active in the NPPES registry as of the last update on 2009-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.