HENRY FORD HEALTH RIVER DISTRICT HOSPITAL
NPI 1225102569
Nurse Anesthetist, Certified Registered in East China, MI
About Henry Ford Health River District Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENRY FORD HEALTH RIVER DISTRICT HOSPITAL (NPI 1225102569) is a healthcare organization registered as a nurse anesthetist, certified registered in East China, Michigan and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Kimberly Cebalt, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
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)
Henry Ford Health River District Hospital 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.
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Henry Ford Health River District Hospital, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 29Source: 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
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 Accreditation 23D0365375
Henry Ford Health River District Hospital · East China, MIFrequently 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 Henry Ford Health River District Hospital's NPI number?
The NPI number for Henry Ford Health River District Hospital is 1225102569. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is also known as St. John River District Hospital - Anesthesia.
Where is Henry Ford Health River District Hospital located?
Henry Ford Health River District Hospital is located at 4100 River Rd, East China, MI 48054. The listed phone number is (810) 326-2024.
What is Henry Ford Health River District Hospital's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Henry Ford Health River District Hospital enrolled in Medicare?
Yes. Henry Ford Health River District Hospital is registered in the Medicare PECOS enrollment system.
When is Henry Ford Health River District Hospital'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 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 Henry Ford Health River District Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 2 Medicare specialties reassign their Medicare billing to Henry Ford Health River District 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 Certified Registered Nurse Anesthetist (CRNA) (25) and Anesthesiology (4). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Henry Ford Health River District Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 23D0365375) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Henry Ford Health River District Hospital accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Henry Ford Health River District Hospital 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 Henry Ford Health River District Hospital was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Henry Ford Health River District Hospital · NPI 1225102569
Nurse Anesthetist, Certified Registered organization in East China, Michigan. Organization record, active in the CMS NPPES registry since November 20, 2006.
## Identity
- **NPI:** 1225102569 (Entity type: Organization)
- **Enumerated:** November 20, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Also known as:** St. John River District Hospital - Anesthesia (Other Name)
- **Organization subpart:** No
- **Authorized official:** Kimberly Cebalt, DIRECTOR
## Practice location
- **Address:** 4100 RIVER RD, East China, MI 48054-2909
- **Phone:** (810) 326-2024
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 29 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (25), Anesthesiology (4); 3 practice at this address; [full list](https://npiprofile.com/npi/1225102569/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2026
- **Other identifiers:** Other 430G448850 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225102569) · Data from the CMS NPPES public registry.