DECKERVILLE COMMUNITY HOSPITAL, INC.
NPI 1164818977
Family Medicine in Deckerville, MI

Active since April 08, 2015
3532 MAIN ST, DECKERVILLE, MI 48427(810) 376-3100(810) 376-8311 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 8, 2023, Mar 13, 2023 (2 updates tracked since 2023).

About Deckerville Community Hospital, Inc. NPPES

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

DECKERVILLE COMMUNITY HOSPITAL, INC. (NPI 1164818977) is a healthcare organization registered as a family medicine in Deckerville, Michigan and active in the NPI registry since April 2015. The organization lists Kimberly Gentner, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164818977
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDECKERVILLE COMMUNITY HOSPITAL, INC.
Location Address3532 MAIN STDeckerville, MI 48427-9615
Mailing Address3532 Main StDeckerville, MI 48427-9615 · (810) 376-3100 · Fax (810) 376-8311
Fax(810) 376-8311
Organization SubpartYes
Authorized OfficialKimberly GentnerCfo · (810) 376-2835
Enumeration DateApril 8, 2015
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1164818977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3532 MAIN ST, Deckerville, MI 48427

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, revalidation 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).

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 IDO20080321000183Part A · Critical Access HospitalDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

154

Medicare enrollment records show 154 clinicians reassign Medicare billing to Deckerville Community Hospital, Inc., which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner42
Emergency Medicine28
Certified Registered Nurse Anesthetist (CRNA)18
Family Practice11
Internal Medicine9
Pathology6
General Surgery4
Diagnostic Radiology3
20 other specialties33

Nearest to this location (20)

See all 154
Emergency Medicine
NPI 1811425226
3559 PINE ST
Deckerville, MI 48427
(810) 376-2835
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1891351672
3559 PINE ST
Deckerville, MI 48427
(810) 376-2835
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1336370626
2433 BLACK RIVER ST
Deckerville, MI 48427
(810) 376-2885
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1902256050
2433 BLACK RIVER ST
Deckerville, MI 48427
(810) 376-2885
✔ PECOS0.1 mi
Internal Medicine
NPI 1700415163
245 S RIDGE ST
Port Sanilac, MI 48469
(810) 376-7000
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1043424468
2254 E MAIN ST
Ubly, MI 48475
(989) 658-9191
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1346614088
2750 MAIN ST STE 2
Marlette, MI 48453
(989) 635-4104
✔ PECOS✔ Accepts Medicare22 mi
Internal Medicine
NPI 1174507404
2734 MAIN ST
Marlette, MI 48453
(989) 635-1871
✔ PECOS✔ Accepts Medicare22 mi
Emergency Medicine
NPI 1295477024
2770 MAIN ST
Marlette, MI 48453
(989) 635-4000
✔ PECOS22 mi
Radiation Oncology
NPI 1669757274
2780 MAIN ST
Marlette, MI 48453
(989) 583-5250
✔ PECOS✔ Accepts Medicare22 mi
Emergency Medicine
NPI 1972547883
2770 MAIN ST
Marlette, MI 48453
(989) 635-4055
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1295350692
684 N PORT CRESCENT ST
Bad Axe, MI 48413
(989) 912-6575
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1285259689
684 N PORT CRESCENT ST
Bad Axe, MI 48413
(989) 912-6575
✔ PECOS✔ Accepts Medicare23 mi
Podiatry
NPI 1073257937
684 N PORT CRESCENT ST
Bad Axe, MI 48413
(989) 912-6810
✔ PECOS✔ Accepts Medicare23 mi
Hematology/Oncology
NPI 1104023118
4675 HILL ST
Cass City, MI 48726
(989) 912-6626
✔ PECOS✔ Accepts Medicare23 mi
Diagnostic Radiology
NPI 1194787085
4675 HILL ST, CASS CITY, MI 48726
Cass City, MI 48762
(989) 872-2121
✔ PECOS✔ Accepts Medicare23 mi
Clinical Social Worker
NPI 1285819532
110 E HURON AVE
Bad Axe, MI 48413
(989) 975-6696
✔ PECOS✔ Accepts Medicare23 mi
Pediatric Medicine
NPI 1114925864
6190 HOSPITAL DR
Cass City, MI 48726
(989) 872-8503
✔ PECOS23 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740334820
1100 S VAN DYKE RD
Bad Axe, MI 48413
(989) 269-9521
✔ Accepts Medicare24 mi
Neurology
NPI 1568562494
1117 S VAN DYKE RD
Bad Axe, MI 48413
(989) 269-2597
✔ PECOS✔ Accepts Medicare24 mi
See all 154 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 1164818977. It was assigned to this organization in the NPPES registry on April 8, 2015.

Where is Deckerville Community Hospital, Inc. located?

Deckerville Community Hospital, Inc. is located at 3532 Main St, Deckerville, MI 48427. The listed phone number is (810) 376-3100.

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.

When is Deckerville Community Hospital, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Michigan, Critical Access Hospital) 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 Deckerville Community Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 154 clinicians in 28 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 Nurse Practitioner (42), Emergency Medicine (28) and Certified Registered Nurse Anesthetist (CRNA) (18). Of these, 4 practice 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 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 June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.