ASCENSION PROVIDENCE HOSPTIAL
NPI 1053684647
Internal Medicine in Brighton, MI
About Ascension Providence Hosptial NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASCENSION PROVIDENCE HOSPTIAL (NPI 1053684647) is a healthcare organization registered as an internal medicine in Brighton, Michigan and active in the NPI registry since February 2012. The organization lists Sarah Starkel, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
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)
Ascension Providence Hosptial is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 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.
Clinicians Billing Medicare Through This Organization
391Medicare enrollment records show 391 clinicians reassign Medicare billing to Ascension Providence Hosptial, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 391Source: 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 Ascension Providence Hosptial's NPI number?
The NPI number for Ascension Providence Hosptial is 1053684647. It was assigned to this organization in the NPPES registry on February 14, 2012.
Where is Ascension Providence Hosptial located?
Ascension Providence Hosptial is located at 10415 Grand River Rd 100, Brighton, MI 48116. The listed phone number is (810) 227-1020.
What is Ascension Providence Hosptial's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ascension Providence Hosptial enrolled in Medicare?
Yes. Ascension Providence Hosptial is registered in the Medicare PECOS enrollment system.
When is Ascension Providence Hosptial'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 January 31, 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 Ascension Providence Hosptial?
According to the CMS Revalidation Reassignment List (October 2026 release), 391 clinicians in 26 Medicare specialties reassign their Medicare billing to Ascension Providence Hosptial. 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 (76), Internal Medicine (62) and Cardiovascular Disease (Cardiology) (44). Of these, 13 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 Ascension Providence Hosptial was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ascension Providence Hosptial · NPI 1053684647
Internal Medicine organization in Brighton, Michigan. Organization record, active in the CMS NPPES registry since February 14, 2012.
## Identity
- **NPI:** 1053684647 (Entity type: Organization)
- **Enumerated:** February 14, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Sarah Starkel, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 10415 GRAND RIVER RD, 100, Brighton, MI 48116-6533
- **Phone:** (810) 227-1020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 391 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (76), Internal Medicine (62), Cardiovascular Disease (Cardiology) (44); 13 practice within 10 miles; [full list](https://npiprofile.com/npi/1053684647/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1053684647) · Data from the CMS NPPES public registry.