COREWELL HEALTH WATERVLIET HOSPITAL PRIMARY CARE - HARTFORD
NPI 1023114741
Clinic/Center - Rural Health in Hartford, MI

Active since September 16, 2006CLIA Certified · 3 labs
525 S CENTER ST, HARTFORD, MI 49057(269) 621-4063(269) 621-9972 Get Directions Write a Review

NPPES record last updated: April 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 1, 2023, Mar 24, 2023 (2 updates tracked since 2023).

About Corewell Health Watervliet Hospital Primary Care - Hartford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREWELL HEALTH WATERVLIET HOSPITAL PRIMARY CARE - HARTFORD (NPI 1023114741) is a healthcare organization registered as a rural health in Hartford, Michigan and active in the NPI registry since September 2006. The organization holds 3 active CLIA laboratory certificates and lists Matthew Cox, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023114741
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLAKELAND COMMUNITY HOSPITAL WATERVLIET
Location Address525 S CENTER STHartford, MI 49057-1362
Mailing Address400 Medical Park DriveWatervliet, MI 49098 · (269) 463-2448 · Fax (269) 463-5351
Fax(269) 621-9972
Organization SubpartYesParent: Corewell Health
Authorized OfficialMatthew CoxCfo · (616) 915-3777
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 1, 20232 updates tracked since enumeration
NPPES CertifiedApril 1, 2023
✔ NPI 1023114741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
525 S CENTER ST, Hartford, MI 49057

Other Names 1

Doing Business AsCorewell Health Watervliet Hospital Primary Care - Hartford

Other Identifiers 1

Other700A160280MI · Bcbsm

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corewell Health Watervliet Hospital Primary Care - Hartford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

107

Medicare enrollment records show 107 clinicians reassign Medicare billing to Corewell Health Watervliet Hospital Primary Care - Hartford, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner39
Family Practice16
Cardiovascular Disease (Cardiology)14
Internal Medicine11
Pediatric Medicine4
Emergency Medicine3
General Surgery3
Neurology3
9 other specialties14

Nearest to this location (20)

See all 107
Nurse Practitioner
NPI 1306438288
525 S CENTER ST
Hartford, MI 49057
(269) 463-3600
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1487974663
525 S CENTER ST
Hartford, MI 49057
(269) 463-3600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144992983
525 S CENTER ST
Hartford, MI 49057
(269) 463-3600
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1194762286
400 MEDICAL PARK DR
Watervliet, MI 49098
(269) 463-3600
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1265424527
460 MEDICAL PARK DR STE 200
Watervliet, MI 49098
(269) 463-3600
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1508503376
400 MEDICAL PARK DR
Watervliet, MI 49098
(269) 985-4467
✔ PECOS✔ Accepts Medicare4.4 mi
Physical Medicine and Rehabilitation
NPI 1386007029
400 MEDICAL PARK DR
Watervliet, MI 49098
(269) 463-3600
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1417358995
400 MEDICAL PARK DR
Watervliet, MI 49098
(269) 463-3600
✔ PECOS✔ Accepts Medicare4.4 mi
Internal Medicine
NPI 1053725267
400 MEDICAL PARK DR
Watervliet, MI 49098
(269) 463-3600
✔ PECOS✔ Accepts Medicare4.4 mi
Clinical Psychologist
NPI 1043612724
400 MEDICAL PARK DR
Watervliet, MI 49098
(269) 463-3600
✔ PECOS✔ Accepts Medicare4.4 mi
Family Practice
NPI 1699744953
400 MEDICAL PARK DR
Watervliet, MI 49098
(269) 985-4467
✔ PECOS✔ Accepts Medicare4.4 mi
Physical Medicine and Rehabilitation
NPI 1780895581
400 MEDICAL PARK DR
Watervliet, MI 49098
(269) 463-3600
✔ PECOS4.4 mi
Physical Medicine and Rehabilitation
NPI 1275196933
400 MEDICAL PARK DR
Watervliet, MI 49098
(269) 463-2242
✔ PECOS✔ Accepts Medicare4.4 mi
Orthopedic Surgery
NPI 1154340693
6559 PAW PAW AVE
Coloma, MI 49038
(269) 463-3600
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1922506948
6701 PAW PAW AVE
Coloma, MI 49038
(269) 463-3600
✔ PECOS✔ Accepts Medicare6.7 mi
Family Practice
NPI 1669001046
6701 PAW PAW AVE
Coloma, MI 49038
(269) 463-3600
✔ PECOS✔ Accepts Medicare6.7 mi
Family Practice
NPI 1609219070
6701 PAW PAW AVE
Coloma, MI 49038
(269) 463-3600
✔ PECOS✔ Accepts Medicare6.7 mi
General Practice
NPI 1851403307
6701 PAW PAW AVE
Coloma, MI 49038
(269) 463-3600
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1073269445
6701 PAW PAW AVE
Coloma, MI 49038
(269) 463-3600
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1538482237
1485 M 139
Benton Harbor, MI 49022
(269) 925-0585
✔ PECOS✔ Accepts Medicare10 mi
See all 107 clinicians

Source: 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 3

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 23D1074718

Corewell Health Watervliet Hospital Primary Care · Watervliet, MI
Active · expires Oct 3, 2027
CLIA Number23D1074718
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorErika Nearpass
Laboratory Phone(269) 463-3600
Laboratory LocationCorewell Health Watervliet Hospital Primary Care400 Medical Park Drive, Watervliet, MI 49098
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 23D0378152

Corewell Health Watervliet Hospital · Watervliet, MI
Active · expires Jan 2, 2027
CLIA Number23D0378152
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorJeffrey L. Hinson
Laboratory Phone(269) 983-8311
Laboratory LocationCorewell Health Watervliet Hospital400 Medical Park Dr, Watervliet, MI 49098
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 23D0714794

Corewell Health Watervliet Hospital Primary Care - Hartford · Hartford, MI
Active · expires Dec 20, 2026
CLIA Number23D0714794
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorJay V. Shah
Laboratory Phone(269) 463-3600
Laboratory LocationCorewell Health Watervliet Hospital Primary Care - Hartford525 S Center Street, Hartford, MI 49057
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Lakeland Community Hospital Watervliet's NPI number?

The NPI number for Lakeland Community Hospital Watervliet is 1023114741. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is doing business as Corewell Health Watervliet Hospital Primary Care - Hartford.

Where is Lakeland Community Hospital Watervliet located?

Lakeland Community Hospital Watervliet is located at 525 S Center St, Hartford, MI 49057. The listed phone number is (269) 621-4063.

What is Lakeland Community Hospital Watervliet's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Lakeland Community Hospital Watervliet enrolled in Medicare?

Yes. Lakeland Community Hospital Watervliet is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeland Community Hospital Watervliet?

According to the CMS Revalidation Reassignment List (October 2026 release), 107 clinicians in 17 Medicare specialties reassign their Medicare billing to Lakeland Community Hospital Watervliet. 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 (39), Family Practice (16) and Cardiovascular Disease (Cardiology) (14). Of these, 3 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lakeland Community Hospital Watervliet hold CLIA laboratory certificates?

Yes. 3 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 Lakeland Community Hospital Watervliet accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeland Community Hospital Watervliet 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 Lakeland Community Hospital Watervliet was last updated on April 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.