CENTRA WELLNESS NETWORK
NPI 1063581205
Community/Behavioral Health in Manistee, MI
About Centra Wellness Network NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRA WELLNESS NETWORK (NPI 1063581205) is a healthcare organization registered as a community/behavioral health in Manistee, Michigan and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 14, 2028, maintains a secondary practice location in Benzonia, and lists Donna Nieman, Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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)
Centra Wellness Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Centra Wellness Network, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 23D2262567
Centra Wellness Network · Manistee, MIFrequently 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 Manistee Benzie Community Mental Health's NPI number?
The NPI number for Manistee Benzie Community Mental Health is 1063581205. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is doing business as Centra Wellness Network.
Where is Manistee Benzie Community Mental Health located?
Manistee Benzie Community Mental Health is located at 2198 Us 31 S, Manistee, MI 49660. The listed phone number is (877) 398-2013.
What is Manistee Benzie Community Mental Health's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Manistee Benzie Community Mental Health enrolled in Medicare?
Yes. Manistee Benzie Community Mental Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Manistee Benzie Community Mental Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Manistee Benzie Community Mental Health. 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 Clinical Social Worker (5), General Practice (1) and Nurse Practitioner (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Manistee Benzie Community Mental Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2262567) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Manistee Benzie Community Mental Health 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 list Manistee Benzie Community Mental Health 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 Manistee Benzie Community Mental Health was last updated on July 22, 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.
# Centra Wellness Network · NPI 1063581205
Community/Behavioral Health organization in Manistee, Michigan. Organization record, active in the CMS NPPES registry since November 6, 2006.
## Identity
- **NPI:** 1063581205 (Entity type: Organization)
- **Enumerated:** November 6, 2006
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Manistee Benzie Community Mental Health
- **Organization subpart:** No
- **Authorized official:** Donna Nieman, FINANCIAL OFFICER
## Practice location
- **Address:** 2198 US 31 S, Manistee, MI 49660-9618
- **Phone:** (877) 398-2013
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (5), General Practice (1), Nurse Practitioner (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2022
- **Other identifiers:** Medicaid 1705304 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063581205) · Data from the CMS NPPES public registry.