HACKLEY COMMUNITY CARE CENTER INC
NPI 1356720262
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI
About Hackley Community Care Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HACKLEY COMMUNITY CARE CENTER INC (NPI 1356720262) is a healthcare organization registered as a federally qualified health center (fqhc) in Muskegon, Michigan and active in the NPI registry since May 2015. The organization lists Wayne Kohn, Cmo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted 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)
Hackley Community Care Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Hackley Community Care Center Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 32Source: 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 Hackley Community Care Center Inc's NPI number?
The NPI number for Hackley Community Care Center Inc is 1356720262. It was assigned to this organization in the NPPES registry on May 26, 2015.
Where is Hackley Community Care Center Inc located?
Hackley Community Care Center Inc is located at 376 E Apple Ave, Muskegon, MI 49442. The listed phone number is (231) 724-1335.
What is Hackley Community Care Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Hackley Community Care Center Inc enrolled in Medicare?
Yes. Hackley Community Care Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hackley Community Care Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 7 Medicare specialties reassign their Medicare billing to Hackley Community Care Center 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 Nurse Practitioner (10), Family Practice (8) and Clinical Social Worker (7). Of these, 2 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Hackley Community Care Center Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Hackley Community Care Center 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 Hackley Community Care Center Inc was last updated on May 26, 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.
# Hackley Community Care Center Inc · NPI 1356720262
Federally Qualified Health Center (FQHC) organization in Muskegon, Michigan. Organization record, active in the CMS NPPES registry since May 26, 2015.
## Identity
- **NPI:** 1356720262 (Entity type: Organization)
- **Enumerated:** May 26, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Wayne Kohn, CMO
## Practice location
- **Address:** 376 E APPLE AVE, Muskegon, MI 49442-3466
- **Phone:** (231) 724-1335
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 32 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (8), Clinical Social Worker (7); 2 practice at this address and 27 within 10 miles; [full list](https://npiprofile.com/npi/1356720262/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2015
- **Other identifiers:** Medicare OSCAR/certification 231976 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1356720262) · Data from the CMS NPPES public registry.