HENRY FORD ALLEGINACE HEALTH
NPI 1265806343
Pediatrics in Jackson, MI

Q: What is Wa Foote Memorial Hospital Inc.'s NPI number?

The NPI number for Wa Foote Memorial Hospital Inc. is 1265806343. It was assigned to this organization in the NPPES registry on November 30, 2015. The provider is doing business as Henry Ford Alleginace Health.

Q: What is Wa Foote Memorial Hospital Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since November 30, 2015

760 W FRANKLIN ST, JACKSON, MI 49201(517) 205-2700(517) 205-2720 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2016, Nov 30, 2015 (2 updates tracked since 2015).

On this page

About Henry Ford Alleginace Health NPPES

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

HENRY FORD ALLEGINACE HEALTH (NPI 1265806343) is a healthcare organization registered as a pediatrics in Jackson, Michigan and active in the NPI registry since November 2015. The organization lists Jeanne' Wickens, Sr Vp Finance/cfo, as its authorized official.

NPPES Registry Identity

NPI1265806343

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameWA FOOTE MEMORIAL HOSPITAL INC.

Location Address760 W FRANKLIN STJackson, MI 49201-2048

Mailing Address760 W Franklin StJackson, MI 49201-2048 · (517) 205-2700 · Fax (517) 205-2720

Phone(517) 205-2700

Fax(517) 205-2720

Organization SubpartYes

Authorized OfficialJeanne' WickensSr Vp Finance/cfo · (517) 841-6979

Enumeration DateNovember 30, 2015

Last NPPES UpdateApril 1, 20162 updates tracked since enumeration

✔ NPI 1265806343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

760 W FRANKLIN ST, Jackson, MI 49201

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Other Names 1

Doing Business AsHenry Ford Alleginace Health

Other Identifiers 1

Medicare PINMI9604MI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henry Ford Alleginace Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 62 clinicians reassign Medicare billing to Henry Ford Alleginace Health, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Neurology32

Pediatric Medicine17

Psychiatry9

Cardiovascular Disease (Cardiology)1

Neurosurgery1

Nurse Practitioner1

Pain Management1

Nearest to this location (20)

See all 62

Jolene Ellis, M.D.

Pediatric Medicine

NPI 1255395612

760 W FRANKLIN ST
Jackson, MI 49201

(517) 780-9260

✔ PECOSSame address

Sandra Kilian, M.D.

Pediatric Medicine

NPI 1669427027

760 W FRANKLIN ST
Jackson, MI 49201

(517) 780-9260

✔ PECOSSame address

John Schuster, M.D.

Pediatric Medicine

NPI 1245201607

760 W FRANKLIN ST
Jackson, MI 49201

(517) 205-2700

✔ PECOSSame address

Stephanie Videan, CPNP-PC

Nurse Practitioner

NPI 1669800975

760 W FRANKLIN ST
Jackson, MI 49201

(517) 780-9260

✔ PECOSSame address

Noreen Khan

Pediatric Medicine

NPI 1831751643

205 N EAST AVE
Jackson, MI 49201

(517) 205-5710

✔ PECOS0.4 mi

Autumn Lindsay, MD, LPN

Pediatric Medicine

NPI 1376069682

205 N EAST AVE
Jackson, MI 49201

(517) 205-5710

✔ PECOS0.4 mi

John Mogerman, MD

Psychiatry

NPI 1699732677

205 N EAST AVE
Jackson, MI 49201

(517) 788-4730

✔ PECOS✔ Accepts Medicare0.4 mi

Vivien Phung, MD

Pediatric Medicine

NPI 1447754437

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS0.4 mi

Shreya Sekaran-Heye

Pediatric Medicine

NPI 1477012797

205 N EAST AVE
Jackson, MI 49201

(517) 205-5710

✔ PECOS0.4 mi

Samy Wassef, MD

Psychiatry

NPI 1437116118

205 N EAST AVE
Jackson, MI 49201

(517) 788-4730

✔ PECOS✔ Accepts Medicare0.4 mi

John Wald, M.D.

Neurology

NPI 1275627366

1201 E MICHIGAN AVE STE 230
Jackson, MI 49201

(517) 817-7620

✔ PECOS✔ Accepts Medicare1.7 mi

Alfredo Davalos Balderas, M.D.

Neurology

NPI 1851735831

1201 E MICHIGAN AVE STE 240
Jackson, MI 49201

(517) 205-7620

✔ PECOS✔ Accepts Medicare1.7 mi

Leena Syed, MD

Pediatric Medicine

NPI 1588357602

205 N EAST AVE
Jackson, MI 49201

(517) 205-5710

✔ PECOS11 mi

Sylvia Anagnos, M.D.

Neurology

NPI 1255428967

777 KIMOLE LN STE 250
Adrian, MI 49221

(419) 291-3900

✔ PECOS✔ Accepts Medicare30 mi

Alisha Manocha, D.O.

Pediatric Medicine

NPI 1417680760

SPARROW HEALTH SYSTEMS 1215 E MICHIGAN AVENUE
Lansing, MI 48909

(517) 364-2157

✔ PECOS33 mi

Samuel Neher, M.D.

Pediatric Medicine

NPI 1467831149

1500 E. MEDICAL CENTER DRIVE D3230 MPB, SPC 5718
Ann Arbor, MI 48109

(734) 763-9251

✔ PECOS36 mi

Lauren Ottenhoff, DO

Neurosurgery

NPI 1831584499

1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109

(734) 936-4000

✔ PECOS✔ Accepts Medicare36 mi

Binh Dinh, M.D.

Psychiatry

NPI 1114138633

7960 GRAND RIVER RD SUIT 110
Brighton, MI 48114

(810) 844-7300

✔ PECOS✔ Accepts Medicare39 mi

Ahmad Charaf Eddine, M.D

Cardiovascular Disease (Cardiology)

NPI 1598968158

3901 BEAUBIEN ST DETROIT MEDICAL CENTER- CHILDREN'S OF MICHIGAN
Detroit, MI 48201

(313) 966-5301

✔ PECOS✔ Accepts Medicare71 mi

Ashraf Mohamed, M.D.

Pain Management

NPI 1013951029

4160 JOHN R ST
Detroit, MI 48201

(313) 833-8467

✔ PECOS✔ Accepts Medicare75 mi

See all 62 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 Wa Foote Memorial Hospital Inc.'s NPI number?

The NPI number for Wa Foote Memorial Hospital Inc. is 1265806343. It was assigned to this organization in the NPPES registry on November 30, 2015. The provider is doing business as Henry Ford Alleginace Health.

Where is Wa Foote Memorial Hospital Inc. located?

Wa Foote Memorial Hospital Inc. is located at 760 W Franklin St, Jackson, MI 49201. The listed phone number is (517) 205-2700.

What is Wa Foote Memorial Hospital Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Wa Foote Memorial Hospital Inc. enrolled in Medicare?

Yes. Wa Foote Memorial Hospital Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wa Foote Memorial Hospital Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 7 Medicare specialties reassign their Medicare billing to Wa Foote Memorial Hospital 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 Neurology (32), Pediatric Medicine (17) and Psychiatry (9). Of these, 4 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wa Foote Memorial Hospital Inc. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Wa Foote Memorial Hospital Inc. 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 Wa Foote Memorial Hospital Inc. was last updated on April 1, 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.