PRIME HEALTHCARE SERVICES-PORT HURON LLC
NPI 1306227764
General Acute Care Hospital in Port Huron, MI

Active since June 11, 2015
2601 ELECTRIC AVE, PORT HURON, MI 48060(810) 985-1500 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prime Healthcare Services-port Huron Llc NPPES

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

PRIME HEALTHCARE SERVICES-PORT HURON LLC (NPI 1306227764) is a healthcare organization registered as a general acute care hospital in Port Huron, Michigan and active in the NPI registry since June 2015. The organization lists Rebekah Smith, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1306227764
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePRIME HEALTHCARE SERVICES-PORT HURON LLC
Location Address2601 ELECTRIC AVEPort Huron, MI 48060-6587
Mailing Address2601 Electric AvePort Huron, MI 48060-6587 · (810) 985-1500
Organization SubpartNo
Authorized OfficialRebekah SmithPresident And Ceo · (810) 985-1500
Enumeration DateJune 11, 2015
✔ NPI 1306227764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
2601 ELECTRIC AVE, Port Huron, MI 48060

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)

Prime Healthcare Services-port Huron Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20150924000667Part A · HospitalDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Prime Healthcare Services-Port Huron LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)14
Nurse Practitioner1

Clinicians, nearest first (15)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1215353032
2601 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-1500
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1497856389
2601 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-1500
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790886513
2601 ELECTRIC AVE
Port Huron, MI 48060
(810) 987-1072
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1356610729
2601 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-1500
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356812697
2601 ELECTRIC AVE
Port Huron, MI 48060
(810) 216-1500
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1497704670
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 989-3754
✔ Accepts Medicare2.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831148113
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ Accepts Medicare2.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1821043639
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ Accepts Medicare2.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760421069
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ Accepts Medicare2.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487081204
19292 SCENIC HARBOR DR
Macomb, MI 48044
(586) 243-5355
✔ Accepts Medicare33 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164460390
1101 W UNIVERSITY DR
Rochester, MI 48307
(248) 652-5354
✔ Accepts Medicare41 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1700833100
30671 STEPHENSON HWY
Madison Heights, MI 48071
(952) 442-9770
✔ PECOS46 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1780757351
50 N PERRY ST DEPARTMENT OF ANESTHESIA ATTN KAREN SANDERSON
Pontiac, MI 48342
(248) 338-5442
✔ Accepts Medicare49 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649337650
16001 W 9 MILE RD
Southfield, MI 48075
(248) 849-5806
✔ Accepts Medicare52 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588109177
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
(734) 936-4000
✔ Accepts Medicare81 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 Prime Healthcare Services-Port Huron LLC's NPI number?

The NPI number for Prime Healthcare Services-Port Huron LLC is 1306227764. It was assigned to this organization in the NPPES registry on June 11, 2015.

Where is Prime Healthcare Services-Port Huron LLC located?

Prime Healthcare Services-Port Huron LLC is located at 2601 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 985-1500.

What is Prime Healthcare Services-Port Huron LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Prime Healthcare Services-Port Huron LLC enrolled in Medicare?

Yes. Prime Healthcare Services-Port Huron LLC is registered in the Medicare PECOS enrollment system.

When is Prime Healthcare Services-Port Huron LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Michigan, Hospital) is due for revalidation by January 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 Prime Healthcare Services-Port Huron LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Prime Healthcare Services-Port Huron LLC. 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) (14) and Nurse Practitioner (1). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prime Healthcare Services-Port Huron LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Prime Healthcare Services-Port Huron LLC 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 Prime Healthcare Services-Port Huron LLC was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.