PORT AUSTIN PRIMARY CARE CLINIC
NPI 1558616086
Clinic/Center - Rural Health in Port Austin, MI
About Port Austin Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORT AUSTIN PRIMARY CARE CLINIC (NPI 1558616086) is a healthcare organization registered as a rural health in Port Austin, Michigan and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Kenneth Baranski, Vp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Port Austin Primary Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 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.
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 23D1002149
Mclaren Thumb Region Port Austin Primary Care · Port Austin, MIOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mclaren Thumb Region's NPI number?
The NPI number for Mclaren Thumb Region is 1558616086. It was assigned to this organization in the NPPES registry on July 20, 2012. The provider is also known as Port Austin Primary Care Clinic.
Where is Mclaren Thumb Region located?
Mclaren Thumb Region is located at 24 E Spring St, Port Austin, MI 48467. The listed phone number is (989) 738-5222.
What is Mclaren Thumb Region's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Mclaren Thumb Region enrolled in Medicare?
Yes. Mclaren Thumb Region is registered in the Medicare PECOS enrollment system.
When is Mclaren Thumb Region's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Michigan, Rural Health Clinic) is due for revalidation by October 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.
Does Mclaren Thumb Region hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D1002149) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mclaren Thumb Region accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mclaren Thumb Region 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 Mclaren Thumb Region was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Port Austin Primary Care Clinic · NPI 1558616086
Rural Health organization in Port Austin, Michigan. Organization record, active in the CMS NPPES registry since July 20, 2012.
## Identity
- **NPI:** 1558616086 (Entity type: Organization)
- **Enumerated:** July 20, 2012
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Mclaren Thumb Region
- **Organization subpart:** No
- **Authorized official:** Kenneth Baranski, VP/CFO
## Practice location
- **Address:** 24 E SPRING ST, Port Austin, MI 48467-6736
- **Phone:** (989) 738-5222 · **Fax:** (989) 738-5224
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, Michigan, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1558616086) · Data from the CMS NPPES public registry.