MAPLE CITY HEALTH CARE CENTER, INC.
NPI 1033166095
Clinic/Center - Federally Qualified Health Center (FQHC) in Goshen, IN

Active since May 27, 2006CLIA 15D2225139 · Waiver
213 MIDDLEBURY ST, GOSHEN, IN 46528(574) 534-3300(574) 534-5412 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 31, 2020, Sep 25, 2020, Nov 1, 2019 (3 updates tracked since 2019).

About Maple City Health Care Center, Inc. NPPES

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

MAPLE CITY HEALTH CARE CENTER, INC. (NPI 1033166095) is a healthcare organization registered as a federally qualified health center (fqhc) in Goshen, Indiana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Karen Miller Rush, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1033166095
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMAPLE CITY HEALTH CARE CENTER, INC.
Location Address213 MIDDLEBURY STGoshen, IN 46528-2956
Mailing Address213 Middlebury StGoshen, IN 46528-2956 · (574) 534-3300 · Fax (574) 534-5412
Fax(574) 534-5412
Organization SubpartNo
Authorized OfficialKaren Miller RushDirector Of Finance · (574) 534-0088
Enumeration DateMay 27, 2006
Last NPPES UpdateDecember 31, 20203 updates tracked since enumeration
NPPES CertifiedDecember 31, 2020
✔ NPI 1033166095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in IN · 01035233B
213 MIDDLEBURY ST, Goshen, IN 46528

Other Identifiers 1

Medicaid100102730AIN

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)

Maple City Health Care Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Maple City Health Care Center, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner21
Clinical Social Worker8
Family Practice4
Registered Dietitian or Nutrition Professional2
Orthopedic Surgery1

Nearest to this location (20)

See all 36
Clinical Social Worker
NPI 1366988537
213 MIDDLEBURY ST
Goshen, IN 46528
(574) 534-3300
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1093034787
213 MIDDLEBURY ST
Goshen, IN 46528
(574) 534-3300
Same address
Orthopedic Surgery
NPI 1568403038
213 MIDDLEBURY ST
Goshen, IN 46528
(574) 534-3300
✔ PECOSSame address
Clinical Social Worker
NPI 1538592704
213 MIDDLEBURY ST
Goshen, IN 46528
(574) 534-3300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407341233
213 MIDDLEBURY ST
Goshen, IN 46528
(574) 534-3300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013786227
213 MIDDLEBURY ST
Goshen, IN 46528
(574) 534-3300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104691153
213 MIDDLEBURY ST
Goshen, IN 46528
(574) 534-3300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588558399
213 MIDDLEBURY ST
Goshen, IN 46528
(574) 534-3300
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1902223522
213 MIDDLEBURY ST
Goshen, IN 46528
(574) 534-3300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841172939
213 MIDDLEBURY ST
Goshen, IN 46528
(574) 534-3300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144115833
808 N 3RD ST
Goshen, IN 46528
(574) 534-3300
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1861850695
808 N 3RD ST
Goshen, IN 46528
(574) 534-0088
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1962764753
808 N 3RD ST
Goshen, IN 46528
(574) 534-0088
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1629358510
808 N 3RD ST
Goshen, IN 46528
(574) 534-0088
✔ PECOS0.3 mi
Clinical Social Worker
NPI 1740968189
808 N 3RD ST
Goshen, IN 46528
(574) 534-3300
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1033656095
808 N 3RD ST
Goshen, IN 46528
(573) 534-0088
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1952029977
808 N 3RD ST
Goshen, IN 46528
(574) 534-0088
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1073244182
808 N 3RD ST
Goshen, IN 46528
(574) 534-0088
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Social Worker
NPI 1124464375
808 N 3RD ST
Goshen, IN 46528
(574) 534-0088
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1083063499
400 W LINCOLN AVE
Goshen, IN 46526
(574) 533-7600
✔ PECOS✔ Accepts Medicare0.6 mi
See all 36 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

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 15D2225139

Maple City Health Care Center, Inc · Goshen, IN
Active · expires Dec 2, 2027
CLIA Number15D2225139
Laboratory TypeMobile Laboratory
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorStephen D. Harmon
Laboratory Phone(574) 534-3300
Laboratory LocationMaple City Health Care Center, Inc808 N 3rd Street, Goshen, IN 46528
CLIA data matches this NPI record on: Name Phone
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 Maple City Health Care Center, Inc.'s NPI number?

The NPI number for Maple City Health Care Center, Inc. is 1033166095. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Maple City Health Care Center, Inc. located?

Maple City Health Care Center, Inc. is located at 213 Middlebury St, Goshen, IN 46528. The listed phone number is (574) 534-3300.

What is Maple City Health Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Maple City Health Care Center, Inc. enrolled in Medicare?

Yes. Maple City Health Care Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maple City Health Care Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 5 Medicare specialties reassign their Medicare billing to Maple City Health Care Center, 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 (21), Clinical Social Worker (8) and Family Practice (4). Of these, 5 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Maple City Health Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2225139) is associated with this NPI, valid through December 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maple City Health Care Center, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Maple City Health Care Center, 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 Maple City Health Care Center, Inc. was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.