PORT SANILAC HEALTHCARE
NPI 1013799469
Clinic/Center in Port Sanilac, MI
About Port Sanilac Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORT SANILAC HEALTHCARE (NPI 1013799469) is a healthcare organization registered as a clinic/center in Port Sanilac, Michigan and active in the NPI registry since October 2023. The organization holds 2 active CLIA laboratory certificates and lists Angela Mcconnachie, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Port Sanilac Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
154Medicare enrollment records show 154 clinicians reassign Medicare billing to Port Sanilac Healthcare, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 28
Nearest to this location (20)
See all 154Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2297820
Port Sanilac Healthcare · Port Sanilac, MICertificate of Waiver 23D0872529
Deckerville Community Hospital Med Sur Medical Surgical · Deckerville, MIFrequently 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 Deckerville Community Hospital, Inc's NPI number?
The NPI number for Deckerville Community Hospital, Inc is 1013799469. It was assigned to this organization in the NPPES registry on October 19, 2023. The provider is doing business as Port Sanilac Healthcare.
Where is Deckerville Community Hospital, Inc located?
Deckerville Community Hospital, Inc is located at 245 S Ridge St, Port Sanilac, MI 48469. The listed phone number is (810) 376-2835.
What is Deckerville Community Hospital, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Deckerville Community Hospital, Inc enrolled in Medicare?
Yes. Deckerville Community Hospital, Inc is registered in the Medicare PECOS enrollment system.
When is Deckerville Community Hospital, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Michigan, Critical Access Hospital) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Deckerville Community Hospital, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 154 clinicians in 28 Medicare specialties reassign their Medicare billing to Deckerville Community Hospital, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (42), Emergency Medicine (28) and Certified Registered Nurse Anesthetist (CRNA) (18). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Deckerville Community Hospital, Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Deckerville Community Hospital, Inc accept?
Health plans from Blue Care Network of Michigan list Deckerville Community Hospital, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Deckerville Community Hospital, Inc was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Port Sanilac Healthcare · NPI 1013799469
Clinic/Center organization in Port Sanilac, Michigan. Organization record, active in the CMS NPPES registry since October 19, 2023.
## Identity
- **NPI:** 1013799469 (Entity type: Organization)
- **Enumerated:** October 19, 2023
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Deckerville Community Hospital, Inc
- **Organization subpart:** Yes (part of Deckerville Community Hospital, Inc)
- **Authorized official:** Angela Mcconnachie, CEO
## Practice location
- **Address:** 245 S RIDGE ST, Port Sanilac, MI 48469-9704
- **Phone:** (810) 376-2835
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, Michigan, Critical Access Hospital) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 154 clinicians in 28 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (42), Emergency Medicine (28), Certified Registered Nurse Anesthetist (CRNA) (18); 1 practice at this address; [full list](https://npiprofile.com/npi/1013799469/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013799469) · Data from the CMS NPPES public registry.