CERTIFIED EMERGENCY MEDICINE SPECIALISTS, PC
NPI 1104985001
Emergency Medicine - Emergency Medical Services in Wyoming, MI

Active since December 06, 2006
5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 363-7867(616) 363-9432 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Certified Emergency Medicine Specialists, Pc NPPES

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

CERTIFIED EMERGENCY MEDICINE SPECIALISTS, PC (NPI 1104985001) is a healthcare organization registered as an emergency medical services in Wyoming, Michigan and active in the NPI registry since December 2006. The organization lists Sonya D Wilson, Provider Credentialing, as its authorized official.

NPPES Registry Identity

NPI1104985001
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NameCERTIFIED EMERGENCY MEDICINE SPECIALISTS, PC
Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519
Mailing AddressPo Box 72011Cleveland, OH 44192-0002 · (616) 363-7867 · Fax (616) 363-9432
Fax(616) 363-9432
Organization SubpartNo
Authorized OfficialSonya D WilsonProvider Credentialing · (616) 363-7867
Enumeration DateDecember 6, 2006
Last NPPES UpdateMarch 14, 2017
✔ NPI 1104985001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
5900 BYRON CENTER AVE SW, Wyoming, MI 49519

Other Identifiers 3

Other9300412441MI · Railroad Medicare
Other1002854MI · Community Health Plans
Medicare PIN0D16347MI

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Certified Emergency Medicine Specialists, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040908001374Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Certified Emergency Medicine Specialists, PC, which bills Medicare for the services they deliver. Of these, 23 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Emergency Medicine19
Nurse Practitioner8

Nearest to this location (20)

See all 27
Emergency Medicine
NPI 1063708923
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1093235848
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1578537478
5900 BYRON CENTER AVE
Wyoming, MI 49519
(616) 252-7123
✔ PECOS0.3 mi
Emergency Medicine
NPI 1457309767
5900 BYRON CENTER SW METRO HEALTH HOSPITAL
Wyoming, MI 49519
(616) 252-7123
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1053502542
5900 BYRON CENTER SW METRO HEALTH HOSPITAL
Wyoming, MI 49519
(616) 252-7123
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1033183900
5900 BYRON CENTER AVE SW METRO HEALTH HOSPITAL
Wyoming, MI 49519
(616) 363-7867
✔ PECOS0.3 mi
Emergency Medicine
NPI 1700844511
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7123
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1962622696
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1699157024
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1427162072
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7123
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1528032539
5900 BYRON CENTER AVE SW METRO HEALTH HOSPITAL
Wyoming, MI 49519
(616) 252-7123
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1457702235
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1336590074
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1922284116
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1255304069
5900 BYRON CENTER AVE SW METRO HEALTH HOSPITAL
Wyoming, MI 49519
(616) 363-7867
✔ PECOS0.3 mi
Emergency Medicine
NPI 1679216758
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1427500578
4467 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 363-7867
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1699180836
4467 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 363-7867
✔ PECOS✔ Accepts Medicare1.8 mi
Emergency Medicine
NPI 1851654487
80 68TH ST SE
Grand Rapids, MI 49548
(616) 486-5111
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1801848189
300 68TH ST SE
Grand Rapids, MI 49548
(616) 455-5000
✔ PECOS✔ Accepts Medicare3.7 mi
See all 27 clinicians

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 Certified Emergency Medicine Specialists, PC's NPI number?

The NPI number for Certified Emergency Medicine Specialists, PC is 1104985001. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Certified Emergency Medicine Specialists, PC located?

Certified Emergency Medicine Specialists, PC is located at 5900 Byron Center Ave SW, Wyoming, MI 49519. The listed phone number is (616) 363-7867.

What is Certified Emergency Medicine Specialists, PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Certified Emergency Medicine Specialists, PC enrolled in Medicare?

Yes. Certified Emergency Medicine Specialists, PC is registered in the Medicare PECOS enrollment system.

When is Certified Emergency Medicine Specialists, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Certified Emergency Medicine Specialists, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 2 Medicare specialties reassign their Medicare billing to Certified Emergency Medicine Specialists, PC. 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 Emergency Medicine (19) and Nurse Practitioner (8). Of these, 23 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Certified Emergency Medicine Specialists, PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Certified Emergency Medicine Specialists, PC 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 Certified Emergency Medicine Specialists, PC was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.