MCKENZIE RURAL HEALTH CLINIC
NPI 1033271135
Clinic/Center - Rural Health in Sandusky, MI

Active since December 14, 2006CLIA 23D0912583 · Waiver
75 DAWSON ST, SANDUSKY, MI 48471(810) 648-6162(810) 648-5058 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mckenzie Rural Health Clinic NPPES

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

MCKENZIE RURAL HEALTH CLINIC (NPI 1033271135) is a healthcare organization registered as a rural health in Sandusky, Michigan and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Amy Ruedisueli, V.p. Finance, as its authorized official.

NPPES Registry Identity

NPI1033271135
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMCKENZIE MEMORIAL HOSPITAL
Location Address75 DAWSON STSandusky, MI 48471-3323
Mailing Address120 N Delaware St, Austin Street Health ClinicSandusky, MI 48471-1009 · (810) 648-3770 · Fax (810) 648-5058
Fax(810) 648-5058
Organization SubpartNo
Authorized OfficialAmy RuedisueliV.p. Finance · (810) 648-6162
Enumeration DateDecember 14, 2006
Last NPPES UpdateMay 2, 2016
✔ NPI 1033271135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
75 DAWSON ST, Sandusky, MI 48471

Other Names 1

Doing Business AsMckenzie Rural Health Clinic

Other Identifiers 1

Medicare UPIN238537MI

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)

Mckenzie Rural Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

51

Medicare enrollment records show 51 clinicians reassign Medicare billing to Mckenzie Rural Health Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner11
Emergency Medicine9
Family Practice6
Pathology6
Certified Registered Nurse Anesthetist (CRNA)5
Diagnostic Radiology3
General Surgery3
Gastroenterology2
6 other specialties6

Nearest to this location (20)

See all 51
Nurse Practitioner
NPI 1508336439
75 DAWSON ST
Sandusky, MI 48471
(810) 648-2232
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255743308
75 DAWSON ST
Sandusky, MI 48471
(810) 648-2232
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841432176
75 DAWSON ST
Sandusky, MI 48471
(810) 648-2232
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134539265
170 W ARGYLE ST
Sandusky, MI 48471
(810) 648-3229
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1568463800
170 ARGYLE STREET
Sandusky, MI 48471
(810) 648-3229
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1558492850
170 ARGYLE STREET
Sandusky, MI 48471
(810) 648-3229
✔ PECOS0.3 mi
Orthopedic Surgery
NPI 1891760286
100 W. ARGYLE STREET SANILAC MEDICAL PLAZA
Sandusky, MI 48471
(810) 648-6113
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Social Worker
NPI 1376014449
109 N DELAWARE ST
Sandusky, MI 48471
(810) 648-0580
✔ PECOS0.4 mi
Family Practice
NPI 1962068163
109 N DELAWARE ST
Sandusky, MI 48471
(810) 648-9677
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1568234466
120 N DELAWARE ST
Sandusky, MI 48471
(810) 648-3770
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1861265076
120 N DELAWARE ST
Sandusky, MI 48471
(810) 648-3770
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1639068448
251 E PECK RD
Peck, MI 48466
(810) 378-4900
✔ PECOS11 mi
Nurse Practitioner
NPI 1003285024
251 E PECK RD
Peck, MI 48466
(810) 378-4900
✔ PECOS11 mi
Family Practice
NPI 1699706929
7307 CHERRY ST
Port Sanilac, MI 48469
(810) 622-9248
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1235324385
8 N HOWARD AVE
Croswell, MI 48422
(810) 679-0012
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1205553633
4675 HILL ST
Cass City, MI 48726
(989) 872-2121
✔ PECOS✔ Accepts Medicare21 mi
Urology
NPI 1326009861
25 MILLVILLE ROAD
Lapeer, MI 48446
(810) 538-2020
✔ PECOS✔ Accepts Medicare36 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710936091
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ Accepts Medicare37 mi
General Surgery
NPI 1194089938
1 HURLEY PLZ
Flint, MI 48503
(810) 262-9355
✔ PECOS✔ Accepts Medicare52 mi
Pathology
NPI 1417100306
9460 S SAGINAW RD STE D
Grand Blanc, MI 48439
(810) 733-7741
✔ PECOS✔ Accepts Medicare53 mi
See all 51 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 23D0912583

Mckenzie Rural Health Clinic · Sandusky, MI
Active · expires Apr 24, 2028
CLIA Number23D0912583
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorJames L. Sams
Laboratory Phone(810) 648-5244
Laboratory LocationMckenzie Rural Health Clinic75 Dawson Street, Sandusky, MI 48471
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 Mckenzie Memorial Hospital's NPI number?

The NPI number for Mckenzie Memorial Hospital is 1033271135. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Mckenzie Rural Health Clinic.

Where is Mckenzie Memorial Hospital located?

Mckenzie Memorial Hospital is located at 75 Dawson St, Sandusky, MI 48471. The listed phone number is (810) 648-6162.

What is Mckenzie Memorial Hospital's specialty?

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

Is Mckenzie Memorial Hospital enrolled in Medicare?

Yes. Mckenzie Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mckenzie Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 14 Medicare specialties reassign their Medicare billing to Mckenzie Memorial Hospital. 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 (11), Emergency Medicine (9) and Family Practice (6). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mckenzie Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0912583) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mckenzie Memorial Hospital accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Mckenzie Memorial Hospital 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 Mckenzie Memorial Hospital was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.