DR. BRUCE PATRICK HACKWORTH PHD
NPI 1063448918
Psychologist in Saint Joseph, MI
About Dr. Bruce Patrick Hackworth Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRUCE PATRICK HACKWORTH PHD (NPI 1063448918) is an individual psychologist in Saint Joseph, Michigan, licensed in Michigan (6801018724) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Bruce Patrick Hackworth Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Bruce Hackworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Coloma, MI 49038
- Reassigned Medicare billing, Michigan enrollment
- 107 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT JOSEPH, MI 49085
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 Bruce Hackworth's NPI number?
The NPI number for Bruce Hackworth is 1063448918. It was assigned to this individual provider in the NPPES registry on June 23, 2006.
Where is Bruce Hackworth located?
Bruce Hackworth practices at 811 Ship St Suite 4B, Saint Joseph, MI 49085. The listed phone number is (269) 985-3618.
What is Bruce Hackworth's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Bruce Hackworth enrolled in Medicare?
Yes. Bruce Hackworth is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Bruce Hackworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Hackworth reassigns Medicare benefits to 2 organizations: Lighthouse Behavioral Health, PLLC (Saint Joseph, MI) and Lakeland Community Hospital Watervliet (Coloma, MI). Each 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 Bruce Hackworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bruce Hackworth accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Bruce Hackworth 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 Bruce Hackworth was last updated on January 1, 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.