HACKLEY COMMUNITY CARE CENTER, INC
NPI 1215504865
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI
About Hackley Community Care Center, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HACKLEY COMMUNITY CARE CENTER, INC (NPI 1215504865), doing business as Hackley Community Care Center - Mobile, is a healthcare organization registered as a federally qualified health center (fqhc) in Muskegon, Michigan and active in the NPI registry since June 2021. The organization lists Valerie Blondin, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Hackley Community Care Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 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.
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Hackley Community Care Center, Inc, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 32Source: 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 Hackley Community Care Center, Inc's NPI number?
The NPI number for Hackley Community Care Center, Inc is 1215504865. It was assigned to this organization in the NPPES registry on June 10, 2021. The provider is doing business as Hackley Community Care Center - Mobile.
Where is Hackley Community Care Center, Inc located?
Hackley Community Care Center, Inc is located at 2700 Baker St Fl 3, Muskegon, MI 49444. The listed phone number is (231) 737-1335.
What is Hackley Community Care Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Hackley Community Care Center, Inc enrolled in Medicare?
Yes. Hackley Community Care Center, Inc is registered in the Medicare PECOS enrollment system.
When is Hackley Community Care Center, Inc'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 October 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 Hackley Community Care Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 7 Medicare specialties reassign their Medicare billing to Hackley Community Care Center, 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 (10), Family Practice (8) and Clinical Social Worker (7). Of these, 14 practice at this address and 28 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 Hackley Community Care Center, Inc was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Hackley Community Care Center, Inc · NPI 1215504865
Federally Qualified Health Center (FQHC) organization in Muskegon, Michigan. Organization record, active in the CMS NPPES registry since June 10, 2021.
## Identity
- **NPI:** 1215504865 (Entity type: Organization)
- **Enumerated:** June 10, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Hackley Community Care Center - Mobile (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Valerie Blondin, CFO
## Practice location
- **Address:** 2700 BAKER ST FL 3, Muskegon, MI 49444-2157
- **Phone:** (231) 737-1335
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 32 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (8), Clinical Social Worker (7); 14 practice at this address and 28 within 10 miles; [full list](https://npiprofile.com/npi/1215504865/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1215504865) · Data from the CMS NPPES public registry.