Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

W.A. FOOTE MEMORIAL HOSPITAL
NPI 1053858910
Audiologist in Jackson, MI

Active since January 30, 2017
205 N. EAST AVE, JACKSON, MI 49201(517) 841-7843(517) 841-7419 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Mar 2, 2017, Jan 30, 2017 (3 updates tracked since 2017).

About W.a. Foote Memorial Hospital NPPES

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

W.A. FOOTE MEMORIAL HOSPITAL (NPI 1053858910), doing business as Henry Ford Allegiance Health, is a healthcare organization registered as an audiologist in Jackson, Michigan and active in the NPI registry since January 2017. The organization lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1053858910
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NameW.A. FOOTE MEMORIAL HOSPITAL
Location Address205 N. EAST AVEJackson, MI 49201
Mailing AddressPo Box 670884Detroit, MI 48267-0002 · (800) 999-5829 · Fax (248) 641-4840
Fax(517) 841-7419
Organization SubpartYesParent: Henry Ford Jackson Health
Authorized OfficialKimberly CebaltDirector · (313) 874-6764
Enumeration DateJanuary 30, 2017
Last NPPES UpdateOctober 20, 20263 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1053858910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in MI · 1060000044
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
205 N. EAST AVE, Jackson, MI 49201

Other Names 2

Doing Business AsHenry Ford Allegiance Health
Doing Business AsHenry Ford Jackson Health

Other Identifiers 1

Medicaid1811921968MI

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)

W.a. Foote Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to W.A. Foote Memorial Hospital, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (11)

Qualified Audiologist
NPI 1730751975
1111 TENEYCK ST STE 200
Jackson, MI 49201
(517) 205-1468
✔ Accepts Medicare9.9 mi
Qualified Audiologist
NPI 1316106487
1111 TENEYCK ST SUITE 200
Jackson, MI 49201
(517) 787-1468
9.9 mi
Qualified Audiologist
NPI 1174217418
1111 TENEYCK ST STE 100
Jackson, MI 49201
(517) 205-8940
9.9 mi
Qualified Audiologist
NPI 1356963920
1111 TENEYCK ST STE 200
Jackson, MI 49201
(517) 205-1468
9.9 mi
Qualified Audiologist
NPI 1235195231
1111 TENEYCK ST SUITE 200
Jackson, MI 49201
(517) 787-1468
9.9 mi
Qualified Audiologist
NPI 1922380286
1111 TENEYCK ST STE 200
Jackson, MI 49201
(517) 787-1468
✔ Accepts Medicare9.9 mi
Qualified Audiologist
NPI 1083169254
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
58 mi
Qualified Audiologist
NPI 1568992543
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
58 mi
Qualified Audiologist
NPI 1689975377
1634 GULL RD LOWR 201
Kalamazoo, MI 49048
(269) 343-2601
70 mi
Qualified Audiologist
NPI 1851812507
1350 W CENTRE AVE STE 105
Portage, MI 49024
(269) 324-0301
✔ Accepts Medicare72 mi
Qualified Audiologist
NPI 1023504024
4069 LAKE DR SE STE 315
Grand Rapids, MI 49546
(616) 267-7758
✔ Accepts Medicare85 mi

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 W.A. Foote Memorial Hospital's NPI number?

The NPI number for W.A. Foote Memorial Hospital is 1053858910. It was assigned to this organization in the NPPES registry on January 30, 2017. The provider is doing business as Henry Ford Allegiance Health and Henry Ford Jackson Health.

Where is W.A. Foote Memorial Hospital located?

W.A. Foote Memorial Hospital is located at 205 N. East Ave, Jackson, MI 49201. The listed phone number is (517) 841-7843.

What is W.A. Foote Memorial Hospital's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is W.A. Foote Memorial Hospital enrolled in Medicare?

Yes. W.A. Foote Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through W.A. Foote Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Qualified Audiologist, reassign their Medicare billing to W.A. Foote 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. Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does W.A. Foote Memorial Hospital accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list W.A. Foote 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 W.A. Foote Memorial Hospital was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.