Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

W.A. FOOTE MEMORIAL HOSPITAL
NPI 1265487722
Emergency Medicine in Jackson, MI

Active since May 23, 2006
205 N EAST AVE, JACKSON, MI 49201(517) 788-4800 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Apr 1, 2016, Mar 21, 2016 (3 updates tracked since 2016).

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 1265487722) is a healthcare organization registered as an emergency medicine in Jackson, Michigan and active in the NPI registry since May 2006. The organization lists Jeanne' Wickens, Senior Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1265487722
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameW.A. FOOTE MEMORIAL HOSPITAL
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing AddressDepartment 272801, Po Box 67000Detroit, MI 48267-2728 · (517) 841-7482 · Fax (517) 841-7476
Organization SubpartYesParent: Wa Foote Memorial Hospital, Inc
Authorized OfficialJeanne' WickensSenior Vice President Of Finance · (517) 841-6979
Enumeration DateMay 23, 2006
Last NPPES UpdateNovember 2, 20263 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1265487722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
205 N EAST AVE, Jackson, MI 49201

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)

W.a. Foote Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to W.A. Foote Memorial Hospital, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Emergency Medicine8
Family Practice1
Internal Medicine1
Preventive Medicine1

Clinicians, nearest first (11)

Family Practice
NPI 1083688261
124 SEYMOUR AVE
Jackson, MI 49202
(517) 782-5700
✔ PECOS✔ Accepts Medicare9.4 mi
Preventive Medicine
NPI 1821382235
205 N. EAST AVENUE
Jackson, MI 49201
(517) 205-5995
✔ PECOS11 mi
Emergency Medicine
NPI 1851325955
205 N EAST AVE
Jackson, MI 49201
(517) 788-4800
✔ PECOS11 mi
Emergency Medicine
NPI 1720132004
401 W GREENLAWN
Lansing, MI 48910
(517) 487-1288
✔ PECOS✔ Accepts Medicare40 mi
Emergency Medicine
NPI 1326088030
16001 W 9 MILE RD
Southfield, MI 48075
(248) 849-3000
✔ PECOS✔ Accepts Medicare46 mi
Emergency Medicine
NPI 1841231453
16001 W 9 MILE RD
Southfield, MI 48075
(248) 849-3000
✔ PECOS46 mi
Emergency Medicine
NPI 1073556759
16001 W 9 MILE RD
Southfield, MI 48075
(248) 849-3000
✔ PECOS✔ Accepts Medicare46 mi
Internal Medicine
NPI 1750427159
21540 W 11 MILE RD STE 200
Southfield, MI 48076
(248) 352-2000
✔ PECOS✔ Accepts Medicare55 mi
Emergency Medicine
NPI 1982832861
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-1601
✔ PECOS✔ Accepts Medicare61 mi
Emergency Medicine
NPI 1396907150
100 MICHIGAN ST NE MC-49
Grand Rapids, MI 49503
(616) 391-8879
✔ PECOS✔ Accepts Medicare91 mi
Emergency Medicine
NPI 1407177884
1000 MONROE AVE NW GRMEP
Grand Rapids, MI 49503
(616) 391-8879
✔ PECOS✔ Accepts Medicare92 mi

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 1265487722. It was assigned to this organization in the NPPES registry on May 23, 2006.

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) 788-4800.

What is W.A. Foote Memorial Hospital's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is W.A. Foote Memorial Hospital enrolled in Medicare?

Yes. W.A. Foote Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through W.A. Foote Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 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 Emergency Medicine (8), Family Practice (1) and Internal Medicine (1). Of these, 1 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 W.A. Foote Memorial Hospital was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.