TEEN CENTER AT PARKSIDE
Medicare Clinicians for NPI 1497825939
Clinic/Center - Federally Qualified Health Center (FQHC) in Jackson, MI

Active since November 09, 2006
2400 4TH ST, JACKSON, MI 49203(517) 788-6812(517) 788-7722 Get Directions

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2022, Nov 16, 2016 (2 updates tracked since 2016).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Teen Center At Parkside in Jackson, MI bills Medicare for 50 clinicians across 10 Medicare specialties. The largest specialties are Family Practice with 11, Dentist with 10 and Nurse Practitioner with 8. Of these, 35 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

50Clinicians
10Medicare specialties
50PECOS enrolled
32Accept Medicare
50 clinicians in 10 specialties

Family Practice (11)

Family Practice
NPI 1245430693
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare1.4 mi
Family Practice
NPI 1730741786
505 S JACKSON ST
Jackson, MI 49203
(517) 748-5500
✔ PECOS✔ Accepts Medicare1.4 mi
Family Practice
NPI 1184852980
400 HINCKLEY BLVD SUITE 100
Jackson, MI 49203
(517) 784-0588
✔ PECOS✔ Accepts Medicare2.0 mi
Family Practice
NPI 1184817413
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Family Practice
NPI 1780371906
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS2.1 mi
Family Practice
NPI 1700526563
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1265846042
3235 E MICHIGAN AVE
Jackson, MI 49202
(517) 205-3280
✔ PECOS✔ Accepts Medicare2.6 mi
Family Practice
NPI 1770746943
3235 E MICHIGAN AVE
Jackson, MI 49202
(517) 787-3280
✔ PECOS✔ Accepts Medicare2.6 mi
Family Practice
NPI 1205834090
804 SERVICE RD SUITE A109
East Lansing, MI 48824
(517) 355-1300
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1326490046
14700 E OLD US HIGHWAY 12
Chelsea, MI 48118
(734) 475-1321
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1740809730
25350 EUREKA RD
Taylor, MI 48180
(313) 307-0088
✔ PECOS✔ Accepts Medicare58 mi

Dentist (10)

Dentist
NPI 1871559666
817 W HIGH ST
Jackson, MI 49203
(517) 784-9385
✔ PECOS0.6 mi
Dentist
NPI 1144286329
817 W HIGH ST
Jackson, MI 49203
(517) 784-9385
✔ PECOS0.6 mi
Dentist
NPI 1770597890
2555 SPRING ARBOR RD
Jackson, MI 49203
(517) 787-8321
✔ PECOS1.5 mi
Dentist
NPI 1952706582
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS2.0 mi
Dentist
NPI 1821115429
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS2.0 mi
Dentist
NPI 1255424214
500 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS2.0 mi
Dentist
NPI 1124724299
500 N JACKSON ST
Jackson, MI 49201
(517) 478-5445
✔ PECOS2.0 mi
Dentist
NPI 1447482591
181 W EMMETT ST
Battle Creek, MI 49037
(269) 966-2600
✔ PECOS40 mi
Dentist
NPI 1306001672
181 W EMMETT ST
Battle Creek, MI 49037
(269) 966-2600
✔ PECOS40 mi
Dentist
NPI 1760189187
700 CHILDRENS DR STE 5A
Columbus, OH 43205
(614) 722-2000
✔ PECOS174 mi

Nurse Practitioner (8)

Nurse Practitioner
NPI 1417106238
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1255089868
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1699343566
505 N JACKSON ST FL 1
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1003603481
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS2.0 mi
Nurse Practitioner
NPI 1568227676
505 N JACKSON ST
Jackson, MI 49201
(517) 796-4550
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1518453836
1456 HUDSON RD
Hillsdale, MI 49242
(517) 439-0200
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1891519161
2380 CEDAR ST
Holt, MI 48842
(517) 742-4922
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1245823269
1215 E MICHIGAN AVE
Lansing, MI 48912
(517) 253-2552
✔ PECOS✔ Accepts Medicare36 mi

Pediatric Medicine (5)

Pediatric Medicine
NPI 1528629946
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS2.0 mi
Pediatric Medicine
NPI 1689052789
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Pediatric Medicine
NPI 1457357055
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Pediatric Medicine
NPI 1194377234
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Pediatric Medicine
NPI 1023014610
5700 MONROE STREET WUITE 301
Sylvania, OH 43560
(419) 291-2121
✔ PECOS52 mi

Obstetrics/Gynecology (4)

Obstetrics/Gynecology
NPI 1659366110
505 N JACKSON ST WOMEN'S HEALTH
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Obstetrics/Gynecology
NPI 1780248484
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Obstetrics/Gynecology
NPI 1659351229
3130 N COUNTY ROAD 25A STE 212
Troy, OH 45373
(937) 335-1660
✔ PECOS✔ Accepts Medicare154 mi
Obstetrics/Gynecology
NPI 1275542672
4545 POINT FOSDICK DR NW
Gig Harbor, WA 98335
(253) 530-8122
✔ PECOS✔ Accepts Medicare1,890 mi

Clinical Social Worker (3)

Clinical Social Worker
NPI 1427653104
330 W MICHIGAN AVE
Jackson, MI 49201
(517) 787-7920
✔ PECOS✔ Accepts Medicare1.6 mi
Clinical Social Worker
NPI 1760043269
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Clinical Social Worker
NPI 1104420942
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS2.1 mi

Internal Medicine (3)

Internal Medicine
NPI 1437156858
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare1.4 mi
Internal Medicine
NPI 1649371071
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Internal Medicine
NPI 1093339145
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS✔ Accepts Medicare2.1 mi

Mental Health Counselor (3)

Mental Health Counselor
NPI 1629621925
330 W MICHIGAN AVE
Jackson, MI 49201
(517) 787-7920
✔ PECOS✔ Accepts Medicare1.6 mi
Mental Health Counselor
NPI 1477838258
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS2.0 mi
Mental Health Counselor
NPI 1083089395
236 S MAIN ST
Onsted, MI 49265
(517) 902-3987
✔ PECOS✔ Accepts Medicare19 mi

Certified Nurse Midwife (CNM) (2)

Certified Nurse Midwife (CNM)
NPI 1235984808
505 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
✔ PECOS2.0 mi
Certified Nurse Midwife (CNM)
NPI 1023531225
4200 WHITEHALL DR STE 350
Ann Arbor, MI 48105
(734) 572-9600
✔ PECOS38 mi

Psychiatry (1)

Psychiatry
NPI 1740711605
3901 CHRYSLER DR STE 3B
Detroit, MI 48201
(313) 577-1396
✔ PECOS✔ Accepts Medicare71 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Teen Center At Parkside appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.