ASCENSION MEDICAL GROUP PROMED
NPI 1063542165
Counselor in Portage, MI

Active since March 07, 2007CLIA 23D2080812 · Waiver
8001 ANGLING RD, PORTAGE, MI 49024(269) 321-7090 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2022, Dec 3, 2021, Feb 22, 2018 (3 updates tracked since 2018).

About Ascension Medical Group Promed NPPES

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

ASCENSION MEDICAL GROUP PROMED (NPI 1063542165) is a healthcare organization registered as a counselor in Portage, Michigan and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Marina Houghton, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063542165
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameASCENSION MEDICAL GROUP PROMED
Location Address8001 ANGLING RDPortage, MI 49024-7422
Mailing Address1717 Shaffer St Ste 2Kalamazoo, MI 49048-1623 · (269) 552-2836
Organization SubpartNo
Authorized OfficialMarina HoughtonCfo · (269) 226-4800
Enumeration DateMarch 7, 2007
Last NPPES UpdateDecember 30, 20223 updates tracked since enumeration
NPPES CertifiedDecember 30, 2022
✔ NPI 1063542165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
8001 ANGLING RD, Portage, MI 49024

Other Identifiers 1

Other750910577MI · Bcbsm Group #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ascension Medical Group Promed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

461

Medicare enrollment records show 461 clinicians reassign Medicare billing to Ascension Medical Group Promed, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 213 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Nurse Practitioner111
Family Practice43
Obstetrics/Gynecology42
Internal Medicine31
General Surgery24
Cardiovascular Disease (Cardiology)18
Gastroenterology17
Interventional Cardiology14
36 other specialties161

Nearest to this location (20)

See all 461
Pediatric Medicine
NPI 1891081972
8001 ANGLING RD
Portage, MI 49024
(269) 329-0944
✔ PECOSSame address
Family Practice
NPI 1750497335
7901 ANGLING RD STE B-201
Portage, MI 49024
(269) 324-8600
✔ PECOS0.1 mi
Family Practice
NPI 1477081685
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1174618052
7901 ANGLING RD SUITE B-201
Portage, MI 49024
(269) 324-8600
✔ PECOS0.1 mi
Family Practice
NPI 1023114477
7901 ANGLING ROAD SUITE B-201
Portage, MI 49024
(269) 324-8600
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1043243959
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1700321841
7901 ANGLING RD
Portage, MI 49024
(269) 324-8405
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1437048857
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1538463393
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1801626627
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1437474152
7901 ANGLING RD
Portage, MI 49024
(269) 324-8600
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1386521623
7901 ANGLING RD
Portage, MI 49024
(269) 324-8405
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1144880881
7775 ANGLING RD
Portage, MI 49024
(269) 324-8670
✔ PECOS✔ Accepts Medicare0.2 mi
Geriatric Medicine
NPI 1912005596
7840 SHEPHERDS GLEN CT
Kalamazoo, MI 49009
(269) 375-1222
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1972996122
7661 THRASHER LN
Kalamazoo, MI 49009
(269) 569-4551
✔ PECOS0.5 mi
Nurse Practitioner
NPI 1831334762
3770 GLENKERRY CT
Portage, MI 49024
(269) 329-2887
✔ PECOS✔ Accepts Medicare0.5 mi
Psychiatry
NPI 1154718237
7950 MOORSBRIDGE RD STE 304
Portage, MI 49024
(269) 222-2109
✔ PECOS0.6 mi
Family Practice
NPI 1134199698
3300 W CENTRE AVE
Portage, MI 49024
(269) 324-8950
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1548464035
6505 CONSTITUTION BLVD STE C
Portage, MI 49024
(269) 762-4120
✔ PECOS2.8 mi
Pulmonary Disease
NPI 1720346620
3786 FLEETWOOD DR
Portage, MI 49024
(248) 765-9369
✔ PECOS✔ Accepts Medicare2.9 mi
See all 461 clinicians

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 23D2080812

Ascension Medical Group Promed · Portage, MI
Active · expires Jul 14, 2028
CLIA Number23D2080812
Laboratory TypeImmediate Medical Care
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorDavid Brown
Laboratory Phone(269) 324-8405
Laboratory LocationAscension Medical Group Promed7901 Angling Road Attn Jessica Cook, Portage, MI 49024
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Group Promed's NPI number?

The NPI number for Ascension Medical Group Promed is 1063542165. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Ascension Medical Group Promed located?

Ascension Medical Group Promed is located at 8001 Angling Rd, Portage, MI 49024. The listed phone number is (269) 321-7090.

What is Ascension Medical Group Promed's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Ascension Medical Group Promed enrolled in Medicare?

Yes. Ascension Medical Group Promed is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ascension Medical Group Promed?

According to the CMS Revalidation Reassignment List (October 2026 release), 461 clinicians in 44 Medicare specialties reassign their Medicare billing to Ascension Medical Group Promed. 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 (111), Family Practice (43) and Obstetrics/Gynecology (42). Of these, 1 practice at this address and 213 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ascension Medical Group Promed hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2080812) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ascension Medical Group Promed was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.