MICHIGAN INFUSION SERVICES AND LICENSED HEALTHCARE
NPI 1164168126
Clinic/Center - Health Service in Plymouth, MI
About Michigan Infusion Services And Licensed Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHIGAN INFUSION SERVICES AND LICENSED HEALTHCARE (NPI 1164168126) is a healthcare organization registered as a health service in Plymouth, Michigan and active in the NPI registry since May 2022. The organization lists Kelly L Long, Associate Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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)
Michigan Infusion Services And Licensed Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Michigan Infusion Services And Licensed Healthcare, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Michigan Infusion Services And Licensed Healthcare's NPI number?
The NPI number for Michigan Infusion Services And Licensed Healthcare is 1164168126. It was assigned to this organization in the NPPES registry on May 11, 2022.
Where is Michigan Infusion Services And Licensed Healthcare located?
Michigan Infusion Services And Licensed Healthcare is located at 500 Ross St, Plymouth, MI 48170. The listed phone number is (734) 341-7767.
What is Michigan Infusion Services And Licensed Healthcare's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Michigan Infusion Services And Licensed Healthcare enrolled in Medicare?
Yes. Michigan Infusion Services And Licensed Healthcare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michigan Infusion Services And Licensed Healthcare?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Michigan Infusion Services And Licensed Healthcare, in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Michigan Infusion Services And Licensed Healthcare accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan Infusion Services And Licensed Healthcare 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 Michigan Infusion Services And Licensed Healthcare was last updated on June 23, 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.
# Michigan Infusion Services And Licensed Healthcare · NPI 1164168126
Health Service organization in Plymouth, Michigan. Organization record, active in the CMS NPPES registry since May 11, 2022.
## Identity
- **NPI:** 1164168126 (Entity type: Organization)
- **Enumerated:** May 11, 2022
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Kelly Long, ASSOCIATE MEDICAL DIRECTOR
## Practice location
- **Address:** 500 ROSS ST, Plymouth, MI 48170-2206
- **Phone:** (734) 341-7767
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164168126) · Data from the CMS NPPES public registry.