W.A. FOOTE MEMORIAL HOSPITAL, INC
NPI 1114464377
Obstetrics & Gynecology in Jackson, MI
About W.a. Foote Memorial Hospital, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
W.A. FOOTE MEMORIAL HOSPITAL, INC (NPI 1114464377), doing business as Henry Ford Allegiance Health, is a healthcare organization registered as an obstetrics & gynecology in Jackson, Michigan and active in the NPI registry since January 2017. The organization lists Mark Smith, Vp Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
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)
W.a. Foote Memorial Hospital, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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.
Clinicians Billing Medicare Through This Organization
59Medicare enrollment records show 59 clinicians reassign Medicare billing to W.A. Foote Memorial Hospital, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 59Ann Arbor, MI 48109
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 W.A. Foote Memorial Hospital, Inc's NPI number?
The NPI number for W.A. Foote Memorial Hospital, Inc is 1114464377. It was assigned to this organization in the NPPES registry on January 26, 2017. The provider is doing business as Henry Ford Allegiance Health and Henry Ford Jackson Health.
Where is W.A. Foote Memorial Hospital, Inc located?
W.A. Foote Memorial Hospital, Inc is located at 205 N. East Ave, Jackson, MI 49201. The listed phone number is (517) 841-7843.
What is W.A. Foote Memorial Hospital, Inc's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is W.A. Foote Memorial Hospital, Inc enrolled in Medicare?
Yes. W.A. Foote Memorial Hospital, Inc is registered in the Medicare PECOS enrollment system.
When is W.A. Foote Memorial Hospital, Inc'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 February 28, 2027. 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 W.A. Foote Memorial Hospital, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 10 Medicare specialties reassign their Medicare billing to W.A. Foote Memorial Hospital, Inc. 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 Obstetrics/Gynecology (19), Diagnostic Radiology (16) and Internal Medicine (7). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does W.A. Foote Memorial Hospital, Inc accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list W.A. Foote Memorial Hospital, Inc 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 W.A. Foote Memorial Hospital, Inc was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.
# W.a. Foote Memorial Hospital, Inc · NPI 1114464377
Obstetrics & Gynecology organization in Jackson, Michigan. Organization record, active in the CMS NPPES registry since January 26, 2017.
## Identity
- **NPI:** 1114464377 (Entity type: Organization)
- **Enumerated:** January 26, 2017
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Also known as:** Henry Ford Allegiance Health (Doing Business As); Henry Ford Jackson Health (Doing Business As)
- **Organization subpart:** Yes (part of Henry Ford Jackson Health)
- **Authorized official:** Mark Smith, VP FINANCE
## Practice location
- **Address:** 205 N. EAST AVE, Jackson, MI 49201
- **Phone:** (517) 841-7843 · **Fax:** (517) 841-7419
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 59 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (19), Diagnostic Radiology (16), Internal Medicine (7); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1114464377/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2026
- **Other identifiers:** Medicaid 1760437826 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1114464377) · Data from the CMS NPPES public registry.