CEDAR CREEK HOSPITAL
NPI 1053841650
Psychiatric Hospital in St Johns, MI

Active since June 15, 2017CLIA 23D2137001 · Waiver
101 W TOWNSEND RD, ST JOHNS, MI 48879(248) 373-9200 Get Directions Write a Review

NPPES record last updated: June 15, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cedar Creek Hospital NPPES

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

CEDAR CREEK HOSPITAL (NPI 1053841650) is a healthcare organization registered as a psychiatric hospital in St Johns, Michigan and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Steve Filton, Sr Vp Cfo, as its authorized official.

NPPES Registry Identity

NPI1053841650
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameHAVENWYCK HOSPITAL INC
Location Address101 W TOWNSEND RDSt Johns, MI 48879
Mailing Address101 W Townsend RdSaint Johns, MI 48879-9200
Organization SubpartNo
Authorized OfficialSteve FiltonSr Vp Cfo · (610) 768-3300
Enumeration DateJune 15, 2017
✔ NPI 1053841650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
101 W TOWNSEND RD, St Johns, MI 48879

Other Names 1

Doing Business AsCedar Creek Hospital

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)

Cedar Creek Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Cedar Creek Hospital, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Psychiatry9
Nurse Practitioner6

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1831193358
721 N SHIAWASSEE ST STE 201
Owosso, MI 48867
(989) 725-8124
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1063986479
4136 LEGACY PKWY
Lansing, MI 48911
(517) 492-0517
✔ PECOS✔ Accepts Medicare21 mi
Psychiatry
NPI 1588627590
838 LOUISA ST SUITE B
Lansing, MI 48911
(517) 887-5200
✔ PECOS✔ Accepts Medicare22 mi
Psychiatry
NPI 1700838554
2150 ASSOCIATION DR STE 100
Okemos, MI 48864
(517) 999-1104
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1578117842
463 E CIRCLE DR
East Lansing, MI 48824
(517) 884-6546
✔ PECOS24 mi
Nurse Practitioner
NPI 1780294264
1042 S KANE RD
Webberville, MI 48892
(517) 245-8475
✔ PECOS37 mi
Nurse Practitioner
NPI 1598363475
900 E MICHIGAN AVE
Jackson, MI 49201
(517) 782-3190
✔ PECOS✔ Accepts Medicare52 mi
Psychiatry
NPI 1083773717
690 S TRUMBULL ST
Bay City, MI 48708
(989) 922-4900
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1679912505
75 SHELDON AVE SE STE 100
Grand Rapids, MI 49503
(616) 391-6120
✔ PECOS56 mi
Psychiatry
NPI 1205103793
5470 GLENN CROSS RD
Battle Creek, MI 49015
(269) 788-1258
✔ PECOS✔ Accepts Medicare60 mi
Psychiatry
NPI 1629057906
461 W HURON ST STE 107
Pontiac, MI 48341
(248) 724-7600
✔ PECOS✔ Accepts Medicare68 mi
Psychiatry
NPI 1740349620
114 ORCHARD LAKE RD
Pontiac, MI 48341
(248) 858-7766
✔ PECOS69 mi
Psychiatry
NPI 1316971062
33045 HAMILTON CT SUITE W-300
Farmington Hills, MI 48334
(248) 848-1558
✔ PECOS✔ Accepts Medicare69 mi
Psychiatry
NPI 1366520470
17141 RYAN RD 4321 E. MCNICHOLS
Detroit, MI 48212
(313) 369-1717
✔ PECOS✔ Accepts Medicare86 mi
Psychiatry
NPI 1740476621
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 837-8767
✔ PECOS✔ Accepts Medicare1,829 mi

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 23D2137001

Cedar Creek Hospital · Saint Johns, MI
Active · expires Sep 18, 2027
CLIA Number23D2137001
Laboratory TypeHospital
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorBarbara Mcquillan
Laboratory Phone(989) 403-6022
Laboratory LocationCedar Creek Hospital101 W Townsend Road, Saint Johns, MI 48879
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Cedar Creek Hospital (CMS certification number 234043), from CMS Care Compare.

Cedar Creek Hospital

Psychiatric · Saint Johns, MI
OwnershipProprietary
CMS Certification Number234043
Location101 West Townsend RoadSaint Johns, MI 48879 · Clinton County · (989) 403-6022

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 Havenwyck Hospital Inc's NPI number?

The NPI number for Havenwyck Hospital Inc is 1053841650. It was assigned to this organization in the NPPES registry on June 15, 2017. The provider is doing business as Cedar Creek Hospital.

Where is Havenwyck Hospital Inc located?

Havenwyck Hospital Inc is located at 101 W Townsend Rd, St Johns, MI 48879. The listed phone number is (248) 373-9200.

What is Havenwyck Hospital Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Havenwyck Hospital Inc enrolled in Medicare?

Yes. Havenwyck Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Havenwyck Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Havenwyck Hospital 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 Psychiatry (9) and Nurse Practitioner (6). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Havenwyck Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2137001) is associated with this NPI, valid through September 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Havenwyck Hospital Inc a Medicare-certified hospital?

Yes. Cedar Creek Hospital is a Medicare-certified hospital (Psychiatric).

What insurance does Havenwyck Hospital Inc accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Havenwyck Hospital 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 Havenwyck Hospital Inc was last updated on June 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.