FACILICARE CLINICAL MICHIGAN PLLC
NPI 1508614447
Clinic/Center in Birmingham, MI

Active since May 07, 2024
122 E BROWN ST, BIRMINGHAM, MI 48009(248) 845-4237 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2024, May 7, 2024 (2 updates tracked since 2024).

About Facilicare Clinical Michigan Pllc NPPES

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

FACILICARE CLINICAL MICHIGAN PLLC (NPI 1508614447) is a healthcare organization registered as a clinic/center in Birmingham, Michigan and active in the NPI registry since May 2024. The organization lists Jylnelle Fearson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1508614447
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFACILICARE CLINICAL MICHIGAN PLLC
Location Address122 E BROWN STBirmingham, MI 48009-6201
Mailing AddressPo Box 2137Birmingham, MI 48012-2137
Organization SubpartNo
Authorized OfficialJylnelle FearsonCredentialing Specialist · (248) 845-4237
Enumeration DateMay 7, 2024
Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
✔ NPI 1508614447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
122 E BROWN ST, Birmingham, MI 48009

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)

Facilicare Clinical Michigan Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Facilicare Clinical Michigan PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1619905387
1428 S LAPEER RD
Lake Orion, MI 48360
(248) 693-0543
✔ PECOS✔ Accepts Medicare15 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 Facilicare Clinical Michigan PLLC's NPI number?

The NPI number for Facilicare Clinical Michigan PLLC is 1508614447. It was assigned to this organization in the NPPES registry on May 7, 2024.

Where is Facilicare Clinical Michigan PLLC located?

Facilicare Clinical Michigan PLLC is located at 122 E Brown St, Birmingham, MI 48009. The listed phone number is (248) 845-4237.

What is Facilicare Clinical Michigan PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Facilicare Clinical Michigan PLLC enrolled in Medicare?

Yes. Facilicare Clinical Michigan PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Facilicare Clinical Michigan PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Facilicare Clinical Michigan PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Facilicare Clinical Michigan PLLC accept?

Health plans from Blue Care Network of Michigan list Facilicare Clinical Michigan PLLC 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 Facilicare Clinical Michigan PLLC was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.