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UPPER GREAT LAKES FAMILY HEALTH CENTER
NPI 1205217239
Dentist - General Practice in Hancock, MI

Active since June 16, 2015CLIA Certified · 2 labs
1550 W QUINCY ST, HANCOCK, MI 49930(906) 482-3621(906) 482-3676 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Upper Great Lakes Family Health Center NPPES

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

UPPER GREAT LAKES FAMILY HEALTH CENTER (NPI 1205217239) is a healthcare organization registered as a general practice in Hancock, Michigan and active in the NPI registry since June 2015. The organization holds 2 active CLIA laboratory certificates and lists Donald A Simila, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205217239
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameUPPER GREAT LAKES FAMILY HEALTH CENTER
Location Address1550 W QUINCY STHancock, MI 49930-1223
Mailing Address1550 W Quincy StHancock, MI 49930-1223 · (906) 482-3621 · Fax (906) 482-3676
Phone(906) 482-3621
Fax(906) 482-3676
Organization SubpartNo
Authorized OfficialDonald A SimilaCeo · (906) 483-1325
Enumeration DateJune 16, 2015
✔ NPI 1205217239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1550 W QUINCY ST, Hancock, MI 49930
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upper Great Lakes Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

56

Medicare enrollment records show 56 clinicians reassign Medicare billing to Upper Great Lakes Family Health Center, which bills Medicare for the services they deliver. Of these, 23 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Obstetrics/Gynecology16
Family Practice12
Nurse Practitioner11
Pediatric Medicine5
Certified Nurse Midwife (CNM)4
Clinical Social Worker4
Internal Medicine3
Emergency Medicine1

Nearest to this location (20)

See all 56
Sheryl Parks, M.D.
Obstetrics/Gynecology
NPI 1669462693
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1050
✔ PECOS✔ Accepts Medicare1.4 mi
Sarah Pettibone, MD
Family Practice
NPI 1497105431
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1060
✔ PECOS✔ Accepts Medicare1.4 mi
Evon Schexnaydre, MD
Obstetrics/Gynecology
NPI 1386603561
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1050
✔ PECOS✔ Accepts Medicare1.4 mi
Gabrielle Blevins
Certified Nurse Midwife (CNM)
NPI 1750193579
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1050
✔ PECOS1.4 mi
Kayrissa Brewster, MSN, APRN,FNP-C
Nurse Practitioner
NPI 1972151959
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1700
✔ PECOS1.4 mi
Ashley Chamberlain, CNM
Certified Nurse Midwife (CNM)
NPI 1104595578
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1050
✔ PECOS1.4 mi
Devyn Dempsey, DO
Obstetrics/Gynecology
NPI 1821679978
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1050
✔ PECOS✔ Accepts Medicare1.4 mi
Jennifer Erickson, LMSW
Clinical Social Worker
NPI 1013757814
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1060
✔ PECOS1.4 mi
Kelly Fletcher, MD
Family Practice
NPI 1184886137
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1060
✔ PECOS✔ Accepts Medicare1.4 mi
Rosmin Jos, MD, MPH
Family Practice
NPI 1316420664
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1060
✔ PECOS✔ Accepts Medicare1.4 mi
Taylor Landers, CNM
Certified Nurse Midwife (CNM)
NPI 1073343794
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1000
✔ PECOS1.4 mi
Erin Mckenzie
Family Practice
NPI 1932845856
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1060
✔ PECOS✔ Accepts Medicare1.4 mi
Anna Meyers, D.O
Pediatric Medicine
NPI 1184986325
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1700
✔ PECOS1.4 mi
Jared Meyette, MD
Pediatric Medicine
NPI 1447744057
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1700
✔ PECOS1.4 mi
Rajanee Sripaipan, MD
Pediatric Medicine
NPI 1124057229
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1700
✔ PECOS1.4 mi
Janet Turner, MD
Obstetrics/Gynecology
NPI 1215920418
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1050
✔ PECOS✔ Accepts Medicare1.4 mi
Colleen Vallad Hix, DO
Pediatric Medicine
NPI 1033171301
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1700
✔ PECOS✔ Accepts Medicare1.4 mi
Zainab Almahrous, MD
Internal Medicine
NPI 1871054395
600 MACINNES DR
Houghton, MI 49931
(906) 483-1860
✔ PECOS✔ Accepts Medicare3.2 mi
Christiann Rosemurgy, CNM
Certified Nurse Midwife (CNM)
NPI 1104236256
600 MACINNES DR
Houghton, MI 49931
(906) 483-1860
✔ PECOS✔ Accepts Medicare3.2 mi
Tayler Ruby, FNP
Nurse Practitioner
NPI 1689558694
600 MACINNES DR
Houghton, MI 49931
(906) 483-1860
✔ PECOS✔ Accepts Medicare3.2 mi
See all 56 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2155083

Upper Great Lakes Family Health Center Pediatrics · Hancock, MI
Active · expires Sep 23, 2028
CLIA Number23D2155083
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 24, 2026
Certificate Expiration DateSeptember 23, 2028
Laboratory DirectorCatherine A. Kroll
Laboratory Phone(906) 483-1700
Laboratory LocationUpper Great Lakes Family Health Center Pediatrics506 Campus Drive Suite 5, Hancock, MI 49930
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2337604

Upper Great Lakes Family Health Center Ob · Hancock, MI
Active · expires Jan 26, 2028
CLIA Number23D2337604
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorCatherine A. Kroll
Laboratory Phone(906) 483-1050
Laboratory LocationUpper Great Lakes Family Health Center Ob500 Campus Drive, Hancock, MI 49930
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Upper Great Lakes Family Health Center's NPI number?

The NPI number for Upper Great Lakes Family Health Center is 1205217239. It was assigned to this organization in the NPPES registry on June 16, 2015.

Where is Upper Great Lakes Family Health Center located?

Upper Great Lakes Family Health Center is located at 1550 W Quincy St, Hancock, MI 49930. The listed phone number is (906) 482-3621.

What is Upper Great Lakes Family Health Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Upper Great Lakes Family Health Center enrolled in Medicare?

Yes. Upper Great Lakes Family Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upper Great Lakes Family Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians in 8 Medicare specialties reassign their Medicare billing to Upper Great Lakes Family Health Center. 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 Obstetrics/Gynecology (16), Family Practice (12) and Nurse Practitioner (11). Of these, 23 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Upper Great Lakes Family Health Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Upper Great Lakes Family Health Center was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.