BAY MILLS INDIAN COMMUNITY
NPI 1073711057
Clinic/Center - Federally Qualified Health Center (FQHC) in Brimley, MI
About Bay Mills Indian Community NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAY MILLS INDIAN COMMUNITY (NPI 1073711057) is a healthcare organization registered as a federally qualified health center (fqhc) in Brimley, Michigan and active in the NPI registry since July 2007. The organization lists Audrey Breakie, Hhs Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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)
Bay Mills Indian Community is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Bay Mills Indian Community, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (20)
Sault Ste. Marie, MI 49783
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 Bay Mills Indian Community's NPI number?
The NPI number for Bay Mills Indian Community is 1073711057. It was assigned to this organization in the NPPES registry on July 11, 2007.
Where is Bay Mills Indian Community located?
Bay Mills Indian Community is located at 12455 W Lakeshore Dr, Brimley, MI 49715. The listed phone number is (906) 248-5527.
What is Bay Mills Indian Community's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Bay Mills Indian Community enrolled in Medicare?
Yes. Bay Mills Indian Community is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bay Mills Indian Community?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 7 Medicare specialties reassign their Medicare billing to Bay Mills Indian Community. 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 (6), Clinical Social Worker (5) and Optometry (4). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bay Mills Indian Community accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Bay Mills Indian Community 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 Bay Mills Indian Community was last updated on June 9, 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.
# Bay Mills Indian Community · NPI 1073711057
Federally Qualified Health Center (FQHC) organization in Brimley, Michigan. Organization record, active in the CMS NPPES registry since July 11, 2007.
## Identity
- **NPI:** 1073711057 (Entity type: Organization)
- **Enumerated:** July 11, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Audrey Breakie, HHS DIRECTOR
## Practice location
- **Address:** 12455 W LAKESHORE DR, Brimley, MI 49715-9319
- **Phone:** (906) 248-5527 · **Fax:** (906) 248-5765
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Clinical Social Worker (5), Optometry (4); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2022
- **Other identifiers:** Medicaid 1073711057 (MI); Other MI9748 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1073711057) · Data from the CMS NPPES public registry.