DECKERVILLE COMMUNITY HOSPITAL, INC.
NPI 1164540555
Family Medicine in Deckerville, MI

Active since March 26, 2007
3559 PINE STREET, DECKERVILLE, MI 48427(810) 376-2835(810) 376-9412 Get Directions Write a Review

NPPES record last updated: October 5, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Deckerville Community Hospital, Inc. NPPES

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

DECKERVILLE COMMUNITY HOSPITAL, INC. (NPI 1164540555) is a healthcare organization registered as a family medicine in Deckerville, Michigan and active in the NPI registry since March 2007. The organization lists Kimberly Gentner, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164540555
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDECKERVILLE COMMUNITY HOSPITAL, INC.
Location Address3559 PINE STREETDeckerville, MI 48427
Mailing Address3559 Pine StreetDeckerville, MI 48427 · (810) 376-2835 · Fax (810) 376-9412
Fax(810) 376-9412
Organization SubpartYes
Authorized OfficialKimberly GentnerCfo · (810) 376-2835
Enumeration DateMarch 26, 2007
Last NPPES UpdateOctober 5, 2017
✔ NPI 1164540555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedGeneral PracticeTaxonomy 208D00000X
3559 PINE STREET, Deckerville, MI 48427

Other Identifiers 3

Medicare PIN0M32640
OtherG61003MI · Bcbsm
Other138358MI · Great Lakes Health Plan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Deckerville Community Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

87

Medicare enrollment records show 87 clinicians reassign Medicare billing to Deckerville Community Hospital, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Emergency Medicine36
Nurse Practitioner15
Family Practice5
Internal Medicine5
Pathology5
General Surgery4
Certified Registered Nurse Anesthetist (CRNA)3
Orthopedic Surgery3
7 other specialties11

Nearest to this location (20)

See all 87
Emergency Medicine
NPI 1811425226
3559 PINE ST
Deckerville, MI 48427
(810) 376-2835
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891351672
3559 PINE ST
Deckerville, MI 48427
(810) 376-2835
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336370626
2433 BLACK RIVER ST
Deckerville, MI 48427
(810) 376-2885
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1902256050
2433 BLACK RIVER ST
Deckerville, MI 48427
(810) 376-2885
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1366827982
2433 BLACK RIVER ST
Deckerville, MI 48427
(810) 376-2885
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1700415163
245 S RIDGE ST
Port Sanilac, MI 48469
(810) 376-7000
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1205420890
2750 MAIN ST STE 4
Marlette, MI 48453
(989) 912-6840
✔ PECOS22 mi
Nurse Practitioner
NPI 1669322335
2770 MAIN ST
Marlette, MI 48453
(989) 635-4000
✔ PECOS22 mi
Emergency Medicine
NPI 1972547883
2770 MAIN ST
Marlette, MI 48453
(989) 635-4055
✔ PECOS✔ Accepts Medicare22 mi
Podiatry
NPI 1073257937
684 N PORT CRESCENT ST
Bad Axe, MI 48413
(989) 912-6810
✔ PECOS✔ Accepts Medicare23 mi
Emergency Medicine
NPI 1417162538
4675 HILL ST
Cass City, MI 48726
(989) 872-6227
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1700237468
4675 HILL ST
Cass City, MI 48726
(989) 872-2121
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1609240316
6190 HOSPITAL DR
Cass City, MI 48726
(989) 872-8303
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1598285926
6190 HOSPITAL DR STE 106
Cass City, MI 48726
(989) 872-5010
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1053956532
75 BUSCHLEN RD
Bad Axe, MI 48413
(989) 623-9300
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1417618224
5988 STATE ST
Kingston, MI 48741
(989) 683-2221
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1548291982
5854 STATE ST
Kingston, MI 48741
(989) 683-8065
✔ PECOS✔ Accepts Medicare24 mi
Internal Medicine
NPI 1477551000
1100 S VAN DYKE
Bad Axe, MI 48413
(989) 269-9521
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1932873478
1514 W CARO RD
Caro, MI 48723
(989) 912-6150
✔ PECOS✔ Accepts Medicare32 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972076412
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ Accepts Medicare40 mi
See all 87 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 Deckerville Community Hospital, Inc.'s NPI number?

The NPI number for Deckerville Community Hospital, Inc. is 1164540555. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Deckerville Community Hospital, Inc. located?

Deckerville Community Hospital, Inc. is located at 3559 Pine Street, Deckerville, MI 48427. The listed phone number is (810) 376-2835.

What is Deckerville Community Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Deckerville Community Hospital, Inc. enrolled in Medicare?

Yes. Deckerville Community Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deckerville Community Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 87 clinicians in 15 Medicare specialties reassign their Medicare billing to Deckerville Community 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 Emergency Medicine (36), Nurse Practitioner (15) and Family Practice (5). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deckerville Community Hospital, Inc. 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 Deckerville Community 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 Deckerville Community Hospital, Inc. was last updated on October 5, 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.