MI PRIMARY CARE, PLLC
NPI 1104441302
Clinic/Center - Primary Care in Mt Pleasant, MI

Active since June 12, 2020CLIA 23D2215183 · Waiver
4950 E BLUE GRASS RD, MT PLEASANT, MI 48858(989) 817-4640(833) 974-2264 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2023, Jun 12, 2020 (2 updates tracked since 2020).

About Mi Primary Care, Pllc NPPES

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

MI PRIMARY CARE, PLLC (NPI 1104441302) is a healthcare organization registered as a primary care in Mt Pleasant, Michigan and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through February 28, 2027, maintains a secondary practice location in Saint Louis, and lists Roberta S Hahn, Manager, as its authorized official.

NPPES Registry Identity

NPI1104441302
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMI PRIMARY CARE, PLLC
Location Address4950 E BLUE GRASS RDMt Pleasant, MI 48858-6020
Mailing Address4950 E Blue Grass RdMt Pleasant, MI 48858-6020 · (989) 817-4640 · Fax (833) 974-2264
Fax(833) 974-2264
Organization SubpartNo
Authorized OfficialRoberta S HahnManager · (989) 303-4101
Enumeration DateJune 12, 2020
Last NPPES UpdateNovember 10, 20232 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
NPI 1104441302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4950 E BLUE GRASS RD, Mt Pleasant, MI 48858

Secondary Practice Location 1

Location 1224 N Mill StSaint Louis, MI 48880-1523 · Phone (989) 303-4101

Accepted Insurance

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 23D2215183

Mi Primary Care · Mount Pleasant, MI
Active · expires Feb 28, 2027
CLIA Number23D2215183
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorRoberta S. Hahn
Laboratory Phone(989) 817-4640
Laboratory LocationMi Primary Care1970 Ashland Drive Suite B, Mount Pleasant, MI 48858
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4950 E BLUE GRASS RD
MT PLEASANT, MI 48858
Clinic/Center (Urgent Care)
4950 E BLUE GRASS RD
MT PLEASANT, MI 48858
Clinic/Center (Urgent Care)
4950 E BLUE GRASS RD
MT PLEASANT, MI 48858

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 Mi Primary Care, PLLC's NPI number?

The NPI number for Mi Primary Care, PLLC is 1104441302. It was assigned to this organization in the NPPES registry on June 12, 2020.

Where is Mi Primary Care, PLLC located?

Mi Primary Care, PLLC is located at 4950 E Blue Grass Rd, Mt Pleasant, MI 48858. The listed phone number is (989) 817-4640.

What is Mi Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Mi Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2215183) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mi Primary Care, PLLC 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 Mi Primary Care, PLLC 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 Mi Primary Care, PLLC was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.