DICKINSON PULMONOLOGY CLINIC
NPI 1043635378
Internal Medicine - Pulmonary Disease in Iron Mountain, MI

Active since February 24, 2014
1711 S STEPHENSON AVE, SUITE 125, IRON MOUNTAIN, MI 49801(906) 776-5930(906) 776-5901 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dickinson Pulmonology Clinic NPPES

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

DICKINSON PULMONOLOGY CLINIC (NPI 1043635378) is a healthcare organization registered as a pulmonary disease in Iron Mountain, Michigan and active in the NPI registry since February 2014. The organization lists Alicia Henderson, Physician Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1043635378
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameDICKINSON COUNTY HEALTHCARE SYSTEM
Location Address1711 S STEPHENSON AVE, SUITE 125Iron Mountain, MI 49801-3639
Mailing AddressPo Box 549Iron Mountain, MI 49801-0549 · (906) 776-5930 · Fax (906) 776-5901
Fax(906) 776-5901
Organization SubpartNo
Authorized OfficialAlicia HendersonPhysician Billing Supervisor · (906) 776-5665
Enumeration DateFebruary 24, 2014
Last NPPES UpdateMarch 13, 2014
✔ NPI 1043635378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1711 S STEPHENSON AVE, Iron Mountain, MI 49801

Other Names 1

Doing Business AsDickinson Pulmonology Clinic

Other Identifiers 1

Medicare PIN0B26002MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Dickinson Pulmonology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20050623000153Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

136

Medicare enrollment records show 136 clinicians reassign Medicare billing to Dickinson Pulmonology Clinic, which bills Medicare for the services they deliver. Of these, 39 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Emergency Medicine37
Nurse Practitioner19
Radiation Oncology13
Obstetrics/Gynecology10
Neurology9
Family Practice8
Pediatric Medicine6
Internal Medicine5
16 other specialties29

Nearest to this location (20)

See all 136
Internal Medicine
NPI 1356324214
1707 S STEPHENSON AVE
Iron Mountain, MI 49801
(906) 779-7111
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1477096865
1707 S STEPHENSON AVE SUITE 102
Iron Mountain, MI 49801
(906) 776-5960
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1366450009
1711 S STEPHENSON AVE SUITE 210
Iron Mountain, MI 49801
(906) 776-5800
✔ PECOS✔ Accepts Medicare0.1 mi
General Practice
NPI 1245768951
1711 S STEPHENSON AVE STE 210
Iron Mountain, MI 49801
(517) 205-3998
✔ PECOS0.1 mi
Nephrology
NPI 1730161555
1711 S STEPHENSON AVE SUITE 225
Iron Mountain, MI 49801
(906) 776-5860
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1689801102
1711 S STEPHENSON AVE STE 305
Iron Mountain, MI 49801
(906) 774-0330
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1912923814
1711 S STEPHENSON AVE STE 210
Iron Mountain, MI 49801
(906) 776-5800
✔ PECOS0.1 mi
Hematology
NPI 1104855030
1711 S STEPHENSON AVE STE 315
Iron Mountain, MI 49801
(906) 774-6257
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1881953115
1711 S STEPHENSON AVE STE 125
Iron Mountain, MI 49801
(906) 776-5810
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1598913279
1711 S STEPHENSON AVE STE 115
Iron Mountain, MI 49801
(906) 776-5955
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1932125838
1711 S STEPHENSON AVE SUITE 305
Iron Mountain, MI 49801
(906) 774-0330
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1306007695
1711 S STEPHENSON AVE SUITE 100
Iron Mountain, MI 49801
(906) 776-5250
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1831933183
1711 S STEPHENSON AVE STE 210
Iron Mountain, MI 49801
(906) 776-5800
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1477874238
1721 S STEPHENSON AVE
Iron Mountain, MI 49801
(906) 776-5565
✔ PECOS✔ Accepts Medicare0.2 mi
Emergency Medicine
NPI 1750694964
1721 S STEPHENSON AVE
Iron Mountain, MI 49801
(906) 776-5406
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiovascular Disease (Cardiology)
NPI 1720076581
1721 S STEPHENSON AVE
Iron Mountain, MI 49801
(906) 774-1313
✔ PECOS✔ Accepts Medicare0.2 mi
Emergency Medicine
NPI 1184151631
1721 S STEPHENSON AVE
Iron Mountain, MI 49801
(906) 774-1313
✔ PECOS✔ Accepts Medicare0.2 mi
Emergency Medicine
NPI 1376518753
1721 S STEPHENSON AVE
Iron Mountain, MI 49801
(906) 774-1313
✔ PECOS0.2 mi
Diagnostic Radiology
NPI 1346214715
1721 S STEPHENSON AVE
Iron Mountain, MI 49801
(906) 776-5565
✔ PECOS✔ Accepts Medicare0.2 mi
Neurology
NPI 1588984785
1721 S. STEPHENSON AVE
Iron Mountain, MI 49801
(323) 442-5710
✔ PECOS✔ Accepts Medicare0.2 mi
See all 136 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dickinson County Healthcare System's NPI number?

The NPI number for Dickinson County Healthcare System is 1043635378. It was assigned to this organization in the NPPES registry on February 24, 2014. The provider is doing business as Dickinson Pulmonology Clinic.

Where is Dickinson County Healthcare System located?

Dickinson County Healthcare System is located at 1711 S Stephenson Ave Suite 125, Iron Mountain, MI 49801. The listed phone number is (906) 776-5930.

What is Dickinson County Healthcare System's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Dickinson County Healthcare System enrolled in Medicare?

Yes. Dickinson County Healthcare System is registered in the Medicare PECOS enrollment system.

When is Dickinson County Healthcare System's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Dickinson County Healthcare System?

According to the CMS Revalidation Reassignment List (October 2026 release), 136 clinicians in 24 Medicare specialties reassign their Medicare billing to Dickinson County Healthcare System. 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 Emergency Medicine (37), Nurse Practitioner (19) and Radiation Oncology (13). Of these, 39 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dickinson County Healthcare System was last updated on March 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.