W.A. FOOTE MEMORIAL HOSPITAL
NPI 1235676180
Physician Assistant in Jackson, MI
About W.a. Foote Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
W.A. FOOTE MEMORIAL HOSPITAL (NPI 1235676180), doing business as Henry Ford Allegiance Health, is a healthcare organization registered as a physician assistant in Jackson, Michigan and active in the NPI registry since January 2017. The organization lists Kimberly Cebalt, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
W.a. Foote Memorial Hospital 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
678Medicare enrollment records show 678 clinicians reassign Medicare billing to W.A. Foote Memorial Hospital, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 113 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 49
Nearest to this location (20)
See all 678Jackson, MI 49201
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 W.A. Foote Memorial Hospital's NPI number?
The NPI number for W.A. Foote Memorial Hospital is 1235676180. It was assigned to this organization in the NPPES registry on January 30, 2017. The provider is doing business as Henry Ford Allegiance Health.
Where is W.A. Foote Memorial Hospital located?
W.A. Foote Memorial Hospital is located at 205 N. East Ave, Jackson, MI 49201. The listed phone number is (517) 841-7843.
What is W.A. Foote Memorial Hospital's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is W.A. Foote Memorial Hospital enrolled in Medicare?
Yes. W.A. Foote Memorial Hospital is registered in the Medicare PECOS enrollment system.
When is W.A. Foote Memorial 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 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 W.A. Foote Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 678 clinicians in 49 Medicare specialties reassign their Medicare billing to W.A. Foote Memorial 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 (185), Internal Medicine (72) and Anesthesiology (60). Of these, 13 practice at this address and 113 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does W.A. Foote Memorial Hospital accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list W.A. Foote Memorial 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 W.A. Foote Memorial Hospital was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# W.a. Foote Memorial Hospital · NPI 1235676180
Physician Assistant organization in Jackson, Michigan. Organization record, active in the CMS NPPES registry since January 30, 2017.
## Identity
- **NPI:** 1235676180 (Entity type: Organization)
- **Enumerated:** January 30, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Also known as:** Henry Ford Allegiance Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kimberly Cebalt, DIRECTOR
## Practice location
- **Address:** 205 N. EAST AVE, Jackson, MI 49201
- **Phone:** (517) 841-7843 · **Fax:** (517) 841-7419
## 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:** 678 clinicians in 49 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (185), Internal Medicine (72), Anesthesiology (60); 13 practice at this address and 113 within 10 miles; [full list](https://npiprofile.com/npi/1235676180/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2026
- **Other identifiers:** Medicaid 1760437826 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1235676180) · Data from the CMS NPPES public registry.