SAULT TRIBE OF CHIPPEWA INDIANS
NPI 1205004884
Nurse Practitioner - Family in Sault Sainte Marie, MI
About Sault Tribe Of Chippewa Indians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAULT TRIBE OF CHIPPEWA INDIANS (NPI 1205004884) is a healthcare organization registered as a family in Sault Sainte Marie, Michigan and active in the NPI registry since February 2008. The organization lists Bonnie L Culfa, Division Of Health Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 8
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)
Sault Tribe Of Chippewa Indians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Sault Tribe Of Chippewa Indians, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (11)
Sault Sainte Marie, MI 49783
Sault Sainte Marie, MI 49783
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 Sault Tribe Of Chippewa Indians's NPI number?
The NPI number for Sault Tribe Of Chippewa Indians is 1205004884. It was assigned to this organization in the NPPES registry on February 15, 2008.
Where is Sault Tribe Of Chippewa Indians located?
Sault Tribe Of Chippewa Indians is located at 2864 Ashmun St, Sault Sainte Marie, MI 49783. The listed phone number is (906) 632-5200.
What is Sault Tribe Of Chippewa Indians's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sault Tribe Of Chippewa Indians enrolled in Medicare?
Yes. Sault Tribe Of Chippewa Indians is registered in the Medicare PECOS enrollment system.
When is Sault Tribe Of Chippewa Indians'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 March 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 Sault Tribe Of Chippewa Indians?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Sault Tribe Of Chippewa Indians. 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. Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sault Tribe Of Chippewa Indians accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Sault Tribe Of Chippewa Indians 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 Sault Tribe Of Chippewa Indians was last updated on March 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Sault Tribe Of Chippewa Indians · NPI 1205004884
Family organization in Sault Sainte Marie, Michigan. Organization record, active in the CMS NPPES registry since February 15, 2008.
## Identity
- **NPI:** 1205004884 (Entity type: Organization)
- **Enumerated:** February 15, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Bonnie Culfa, DIVISION OF HEALTH DIRECTOR
## Practice location
- **Address:** 2864 ASHMUN ST, Sault Sainte Marie, MI 49783-3740
- **Phone:** (906) 632-5200 · **Fax:** (906) 632-5276
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2009
- **Other identifiers:** Medicare OSCAR/certification 231923 (MI); Medicare OSCAR/certification 231843 (MI); Medicare OSCAR/certification 231922; and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1205004884) · Data from the CMS NPPES public registry.