PENNOCK HOSPITAL
NPI 1215221353
Surgery in Hastings, MI

Active since June 07, 2011
1005 W GREEN ST, HASTINGS, MI 49058(269) 948-8411(269) 948-9874 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2016, Jan 28, 2016 (2 updates tracked since 2016).

About Pennock Hospital NPPES

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

PENNOCK HOSPITAL (NPI 1215221353) is a healthcare organization registered as a surgery in Hastings, Michigan and active in the NPI registry since June 2011. The organization lists Deidre Weller, Controller, as its authorized official.

NPPES Registry Identity

NPI1215221353
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePENNOCK HOSPITAL
Location Address1005 W GREEN STHastings, MI 49058-1712
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Fax(269) 948-9874
Organization SubpartYes
Authorized OfficialDeidre WellerController · (269) 945-1212
Enumeration DateJune 7, 2011
Last NPPES UpdateApril 22, 20162 updates tracked since enumeration
✔ NPI 1215221353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
1005 W GREEN ST, Hastings, MI 49058

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)

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

Clinicians Billing Medicare Through This Organization

184

Medicare enrollment records show 184 clinicians reassign Medicare billing to Pennock Hospital, which bills Medicare for the services they deliver. Of these, 25 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Nurse Practitioner72
Obstetrics/Gynecology27
Pediatric Medicine20
Family Practice14
General Surgery12
Clinical Social Worker7
Certified Nurse Midwife (CNM)6
Medical Oncology6
10 other specialties20

Nearest to this location (20)

See all 184
Nurse Practitioner
NPI 1235676651
1005 W GREEN ST
Hastings, MI 49058
(269) 948-5892
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1043803760
1009 W GREEN ST
Hastings, MI 49058
(269) 945-1212
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1962838599
1009 W GREEN ST
Hastings, MI 49058
(269) 948-3129
✔ PECOS0.1 mi
General Surgery
NPI 1366436255
1005 W GREEN ST SUITE 300
Hastings, MI 49058
(269) 948-3632
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1437130499
1005 W GREEN ST STE 300
Hastings, MI 49058
(269) 948-8411
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1174513865
1005 W GREEN ST STE 301
Hastings, MI 49058
(269) 945-8080
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1306310313
1005 W GREEN ST STE 301
Hastings, MI 49058
(269) 945-8080
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1992329056
1005 W GREEN ST
Hastings, MI 49058
(269) 945-8080
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1649295031
1005 W GREEN ST SUITE 300
Hastings, MI 49058
(269) 948-3632
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1801541222
1005 W GREEN ST STE 301
Hastings, MI 49058
(269) 945-8080
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1457639601
1005 W GREEN ST STE 300
Hastings, MI 49058
(269) 948-8411
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1033815469
1005 W GREEN ST STE 301
Hastings, MI 49058
(269) 945-8080
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1649566076
1005 W GREEN ST STE 301
Hastings, MI 49058
(269) 945-8080
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1063116184
1108 W STATE ST STE 3
Hastings, MI 49058
(269) 945-0922
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1144543232
1108 W STATE ST STE 3
Hastings, MI 49058
(269) 945-0922
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1073265310
1108 W STATE ST STE 3
Hastings, MI 49058
(269) 945-0922
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1174218010
1108 W STATE ST STE 3
Hastings, MI 49058
(269) 945-0922
✔ PECOS✔ Accepts Medicare0.2 mi
Orthopedic Surgery
NPI 1144290172
840 COOK RD
Hastings, MI 49058
(269) 945-9520
✔ PECOS✔ Accepts Medicare0.4 mi
Pain Management
NPI 1205872959
840 COOK RD
Hastings, MI 49058
(269) 945-9520
✔ PECOS✔ Accepts Medicare0.4 mi
Orthopedic Surgery
NPI 1598183196
840 COOK RD
Hastings, MI 49058
(269) 945-9520
✔ PECOS✔ Accepts Medicare0.5 mi
See all 184 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 Pennock Hospital's NPI number?

The NPI number for Pennock Hospital is 1215221353. It was assigned to this organization in the NPPES registry on June 7, 2011.

Where is Pennock Hospital located?

Pennock Hospital is located at 1005 W Green St, Hastings, MI 49058. The listed phone number is (269) 948-8411.

What is Pennock Hospital's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Pennock Hospital enrolled in Medicare?

Yes. Pennock Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pennock Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 184 clinicians in 18 Medicare specialties reassign their Medicare billing to Pennock Hospital. 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 (72), Obstetrics/Gynecology (27) and Pediatric Medicine (20). Of these, 25 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pennock Hospital was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.