Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela R Vandewettering, NP

Individual provider Nurse Practitioner · NPI 1124702220

Angela R Vandewettering, NP is a Nurse Practitioner in Manitowoc, Wisconsin. Qualified in 2023, 3 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1111 Bayshore Dr
Manitowoc, WI 54220-5548
Phone: (920) 682-6376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1110 Orchard Dr, Seymour, WI 54165-1600 — (920) 833-5100

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14063 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 14063-33 (WI)

Record details

NPI number1124702220
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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