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

Beth A Wagenvelt, NP

Individual provider Nurse Practitioner · NPI 1457008617

Beth A Wagenvelt, NP is a Nurse Practitioner in Kalamazoo, Michigan. Qualified in 2022, 4 years ago. Practices with Paragon Health PC, a 53-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
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

1815 Henson Ave
Kalamazoo, MI 49048-1510
Phone: (269) 492-6500
Fax: (269) 492-6461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704264004 (MI)

Record details

NPI number1457008617
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 8, 2022
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023
Mailing address1815 Henson Ave, Kalamazoo, MI 49048-1510

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Paragon Health Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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