CHERRY STREET HEALTH SERVICES
NPI 1558459164
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Rapids, MI
About Cherry Street Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHERRY STREET HEALTH SERVICES (NPI 1558459164) is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Rapids, Michigan and active in the NPI registry since October 2006. The organization lists Tasha Blackmon, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 13
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)
Cherry Street Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
115Medicare enrollment records show 115 clinicians reassign Medicare billing to Cherry Street Health Services, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 81 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 115Grand Rapids, MI 49503
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 Cherry Street Services, Inc.'s NPI number?
The NPI number for Cherry Street Services, Inc. is 1558459164. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Cherry Street Health Services.
Where is Cherry Street Services, Inc. located?
Cherry Street Services, Inc. is located at 550 Cherry St SE, Grand Rapids, MI 49503. The listed phone number is (616) 235-7289.
What is Cherry Street Services, 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 Cherry Street Services, Inc. enrolled in Medicare?
Yes. Cherry Street Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cherry Street Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 13 Medicare specialties reassign their Medicare billing to Cherry Street Services, 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 (45), Nurse Practitioner (17) and Optometry (15). Of these, 3 practice at this address and 81 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cherry Street Services, Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Cherry Street Services, 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 Cherry Street Services, Inc. was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Cherry Street Health Services · NPI 1558459164
Federally Qualified Health Center (FQHC) organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1558459164 (Entity type: Organization)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Cherry Street Services, Inc.
- **Organization subpart:** No
- **Authorized official:** Tasha Blackmon, CEO
## Practice location
- **Address:** 550 CHERRY ST SE, Grand Rapids, MI 49503-4748
- **Phone:** (616) 235-7289 · **Fax:** (616) 235-0739
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 115 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (45), Nurse Practitioner (17), Optometry (15); 3 practice at this address and 81 within 10 miles; [full list](https://npiprofile.com/npi/1558459164/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1558459164) · Data from the CMS NPPES public registry.