MSU LABORATORY - OLIN - SHS
NPI 1144309642
Clinical Medical Laboratory in East Lansing, MI

Active since November 03, 2006
463 E CIRCLE DR, EAST LANSING, MI 48824(517) 355-8237(517) 432-0457 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 4, 2021, Oct 21, 2020, Apr 11, 2019 (3 updates tracked since 2019).

About Msu Laboratory - Olin - Shs NPPES

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

MSU LABORATORY - OLIN - SHS (NPI 1144309642) is a healthcare organization registered as a clinical medical laboratory in East Lansing, Michigan and active in the NPI registry since November 2006. The organization lists Lisa Rucker, Enrollment & Pt Accts Supervisor, as its authorized official.

NPPES Registry Identity

NPI1144309642
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameBOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY
Location Address463 E CIRCLE DREast Lansing, MI 48824-7500
Mailing Address804 Service Rd Rm A109bEast Lansing, MI 48824-7015 · (517) 884-2976 · Fax (517) 432-3928
Fax(517) 432-0457
Organization SubpartNo
Authorized OfficialLisa RuckerEnrollment & Pt Accts Supervisor · (517) 884-2976
Enumeration DateNovember 3, 2006
Last NPPES UpdateJune 4, 20213 updates tracked since enumeration
NPPES CertifiedJune 4, 2021
✔ NPI 1144309642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
463 E CIRCLE DR, East Lansing, MI 48824

Other Names 2

Doing Business AsMsu Laboratory - Olin - Shs
Doing Business AsMichigan State University

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)

Msu Laboratory - Olin - Shs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040416000028Non-DME Part B · Independent Clinical LaboratoryDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Msu Laboratory - Olin - Shs, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner4
Family Practice3
Pediatric Medicine2
Psychiatry2
Diagnostic Radiology1
Endocrinology1
Orthopedic Surgery1

Clinicians, nearest first (14)

Family Practice
NPI 1619071115
463 E CIRCLE DR
East Lansing, MI 48824
(517) 884-6502
✔ PECOS0.3 mi
Psychiatry
NPI 1689881781
463 E CIRCLE DR OLIN HEALTH CENTER
East Lansing, MI 48824
(517) 884-6546
✔ PECOS✔ Accepts Medicare0.6 mi
Psychiatry
NPI 1306870985
463 E CIRCLE DR
East Lansing, MI 48824
(517) 884-6546
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1265467047
463 E CIRCLE DR
East Lansing, MI 48824
(517) 884-6546
✔ PECOS0.6 mi
Pediatric Medicine
NPI 1881602316
804 SERVICE RD # A110
East Lansing, MI 48824
(517) 353-3003
✔ PECOS1.2 mi
Orthopedic Surgery
NPI 1215293089
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS✔ Accepts Medicare1.6 mi
Endocrinology
NPI 1710928015
4650 S HAGADORN RD STE 100
East Lansing, MI 48823
(517) 353-4830
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1023529427
808 W LAKE LANSING RD STE 200
East Lansing, MI 48823
(517) 706-2447
✔ PECOS2.2 mi
Diagnostic Radiology
NPI 1114975745
3220 DISCOVERY DR STE 100 ROOM A204
Lansing, MI 48910
(517) 975-8930
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1043961964
463 E CIRCLE DR
East Lansing, MI 48824
(517) 884-6546
✔ PECOS✔ Accepts Medicare11 mi
Pediatric Medicine
NPI 1023089794
463 E CIRCLE DR
East Lansing, MI 48824
(517) 884-6546
✔ PECOS11 mi
Family Practice
NPI 1750455804
463 E CIRCLE DR
East Lansing, MI 48824
(517) 884-6546
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1710498142
463 E CIRCLE DR
East Lansing, MI 48824
(517) 884-6546
✔ PECOS11 mi
Nurse Practitioner
NPI 1578117842
463 E CIRCLE DR
East Lansing, MI 48824
(517) 884-6546
✔ PECOS11 mi

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 Board Of Trustees Of Michigan State University's NPI number?

The NPI number for Board Of Trustees Of Michigan State University is 1144309642. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Msu Laboratory - Olin - Shs and Michigan State University.

Where is Board Of Trustees Of Michigan State University located?

Board Of Trustees Of Michigan State University is located at 463 E Circle Dr, East Lansing, MI 48824. The listed phone number is (517) 355-8237.

What is Board Of Trustees Of Michigan State University's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Board Of Trustees Of Michigan State University enrolled in Medicare?

Yes. Board Of Trustees Of Michigan State University is registered in the Medicare PECOS enrollment system.

When is Board Of Trustees Of Michigan State University'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, Independent Clinical Laboratory) is due for revalidation by January 31, 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 Board Of Trustees Of Michigan State University?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 7 Medicare specialties reassign their Medicare billing to Board Of Trustees Of Michigan State University. 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 (4), Family Practice (3) and Pediatric Medicine (2). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Board Of Trustees Of Michigan State University accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Board Of Trustees Of Michigan State University 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 Board Of Trustees Of Michigan State University was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.