JUDSON CENTER, INC.
NPI 1396217600
Family Medicine in Warren, MI
About Judson Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDSON CENTER, INC. (NPI 1396217600), doing business as Judson Center Family Health Clinic, is a healthcare organization registered as a family medicine in Warren, Michigan and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Kristin C Desjardins, Director Of Reimbursement, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Judson Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Judson Center, Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2172162
Judson Center Primary Health Care Clinic · Warren, MIFrequently 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 Judson Center, Inc.'s NPI number?
The NPI number for Judson Center, Inc. is 1396217600. It was assigned to this organization in the NPPES registry on December 27, 2018. The provider is doing business as Judson Center Family Health Clinic.
Where is Judson Center, Inc. located?
Judson Center, Inc. is located at 12200 E 13 Mile Rd, Warren, MI 48093. The listed phone number is (586) 573-1810.
What is Judson Center, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Judson Center, Inc. enrolled in Medicare?
Yes. Judson Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Judson Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Judson 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 Clinical Social Worker (8), Nurse Practitioner (4) and Mental Health Counselor (2). Of these, 6 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Judson Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2172162) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Judson Center, Inc. accept?
Health plans from Blue Care Network of Michigan list Judson 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 Judson Center, Inc. was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Judson Center, Inc. · NPI 1396217600
Family Medicine organization in Warren, Michigan. Organization record, active in the CMS NPPES registry since December 27, 2018.
## Identity
- **NPI:** 1396217600 (Entity type: Organization)
- **Enumerated:** December 27, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Judson Center Family Health Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kristin Desjardins, DIRECTOR OF REIMBURSEMENT
## Practice location
- **Address:** 12200 E 13 MILE RD, Warren, MI 48093-3093
- **Phone:** (586) 573-1810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (8), Nurse Practitioner (4), Mental Health Counselor (2); 6 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396217600) · Data from the CMS NPPES public registry.