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

CATHOLIC CHARITIES OF INGHAM, EATON & CLINTON COUNTIES
NPI 1407800931
General Practice in Lansing, MI

Active since May 20, 2006
1717 N HIGH ST, LANSING, MI 48906(517) 371-1700(517) 371-4245 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, Sep 10, 2026, Oct 2, 2024 (3 updates tracked since 2024).

About Catholic Charities Of Ingham, Eaton & Clinton Counties NPPES

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

CATHOLIC CHARITIES OF INGHAM, EATON & CLINTON COUNTIES (NPI 1407800931) is a healthcare organization registered as a general practice in Lansing, Michigan and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Lansing and lists Jenifer Ackley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407800931
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCATHOLIC CHARITIES OF INGHAM, EATON & CLINTON COUNTIES
Location Address1717 N HIGH STLansing, MI 48906-4529
Mailing Address1717 N High StLansing, MI 48906-4529 · (517) 371-1700 · Fax (517) 371-4245
Fax(517) 371-4245
Organization SubpartNo
Authorized OfficialJenifer AckleyOffice Manager · (517) 371-1700
Enumeration DateMay 20, 2006
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1407800931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · PC049423
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1717 N HIGH ST, Lansing, MI 48906

Secondary Practice Location 1

Location 12800 W Willow StLansing, MI 48917-1833 · Phone (517) 913-0013

Other Identifiers 2

Medicaid3148943MI
Other010C362090MI · Bcbs Cooke

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)

Catholic Charities Of Ingham, Eaton & Clinton Counties is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20040830000021Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Catholic Charities Of Ingham, Eaton & Clinton Counties, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Nurse Practitioner6
Family Practice4
Pediatric Medicine2
Psychiatry2
Clinical Social Worker1
Internal Medicine1
Mental Health Counselor1
Preventive Medicine1

Clinicians, nearest first (18)

Mental Health Counselor
NPI 1265994206
1717 N HIGH ST
Lansing, MI 48906
(517) 372-4700
✔ PECOSSame address
Pediatric Medicine
NPI 1689067829
1717 N HIGH ST
Lansing, MI 48906
(517) 371-1700
✔ PECOSSame address
Pediatric Medicine
NPI 1760746788
1717 N HIGH ST
Lansing, MI 48906
(517) 371-1700
✔ PECOSSame address
Internal Medicine
NPI 1578767406
1717 N HIGH ST
Lansing, MI 48906
(517) 371-1700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1952470361
1717 N HIGH ST
Lansing, MI 48906
(517) 253-8243
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1750378758
1717 N HIGH ST
Lansing, MI 48906
(517) 371-1700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578903266
1717 N HIGH ST
Lansing, MI 48906
(517) 371-1700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073236253
1717 N HIGH ST
Lansing, MI 48906
(517) 253-8243
✔ PECOSSame address
Nurse Practitioner
NPI 1568553741
1215 EAST MICHIGAN AVE
Lansing, MI 48912
(517) 364-1000
✔ PECOS✔ Accepts Medicare1.4 mi
Family Practice
NPI 1790949667
1100 W SAGINAW ST STE 5
Lansing, MI 48915
(517) 887-5922
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1437660248
3220 DISCOVERY DR STE 101
Lansing, MI 48910
(517) 325-3776
✔ PECOS3.6 mi
Nurse Practitioner
NPI 1750093308
2585 KATE ST
Holt, MI 48842
(517) 703-3771
✔ PECOS✔ Accepts Medicare6.7 mi
Family Practice
NPI 1962516047
7686 TUPPER LAKE RD
Sunfield, MI 48890
(517) 449-8705
✔ PECOS20 mi
Clinical Social Worker
NPI 1649245028
7419 ARCOLA ST
Westland, MI 48185
(734) 306-3653
✔ PECOS✔ Accepts Medicare69 mi
Nurse Practitioner
NPI 1215541313
6051 FRANKFORT HWY
Benzonia, MI 49616
(231) 383-4800
✔ PECOS152 mi
Psychiatry
NPI 1740371715
109 W 27TH ST STE 5S
New York, NY 10001
(833) 351-8255
✔ PECOS✔ Accepts Medicare562 mi
Preventive Medicine
NPI 1104822170
615 JOHNNIE DODDS BLVD STE 102
Mount Pleasant, SC 29464
(843) 936-6451
✔ PECOS732 mi
Psychiatry
NPI 1124136627
315G S. CORTEZ ST
Prescott, AZ 86303
(928) 443-0032
✔ PECOS✔ Accepts Medicare1,605 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 Catholic Charities Of Ingham, Eaton & Clinton Counties's NPI number?

The NPI number for Catholic Charities Of Ingham, Eaton & Clinton Counties is 1407800931. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Catholic Charities Of Ingham, Eaton & Clinton Counties located?

Catholic Charities Of Ingham, Eaton & Clinton Counties is located at 1717 N High St, Lansing, MI 48906. The listed phone number is (517) 371-1700.

What is Catholic Charities Of Ingham, Eaton & Clinton Counties's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Catholic Charities Of Ingham, Eaton & Clinton Counties enrolled in Medicare?

Yes. Catholic Charities Of Ingham, Eaton & Clinton Counties is registered in the Medicare PECOS enrollment system.

When is Catholic Charities Of Ingham, Eaton & Clinton Counties's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Catholic Charities Of Ingham, Eaton & Clinton Counties?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 8 Medicare specialties reassign their Medicare billing to Catholic Charities Of Ingham, Eaton & Clinton Counties. 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 (6), Family Practice (4) and Pediatric Medicine (2). Of these, 8 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 Catholic Charities Of Ingham, Eaton & Clinton Counties accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Catholic Charities Of Ingham, Eaton & Clinton Counties 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 Catholic Charities Of Ingham, Eaton & Clinton Counties was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 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.