SPRINGPORT MEDICAL CLINIC
NPI 1588810709
Clinic/Center - Rural Health in Eaton Rapids, MI
About Springport Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPRINGPORT MEDICAL CLINIC (NPI 1588810709) is a healthcare organization registered as a rural health in Eaton Rapids, Michigan and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Timothy J. Johnson, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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)
Springport Medical Clinic 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.
Clinicians Billing Medicare Through This Organization
54Medicare enrollment records show 54 clinicians reassign Medicare billing to Springport Medical Clinic, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 54Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 23D1087090
Springport Medical Clinic · Springport, MIFrequently 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 Eaton Rapids Medical Center's NPI number?
The NPI number for Eaton Rapids Medical Center is 1588810709. It was assigned to this organization in the NPPES registry on August 8, 2008. The provider is doing business as Springport Medical Clinic.
Where is Eaton Rapids Medical Center located?
Eaton Rapids Medical Center is located at 1500 S Main St, Eaton Rapids, MI 48827. The listed phone number is (517) 857-4500.
What is Eaton Rapids Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Eaton Rapids Medical Center enrolled in Medicare?
Yes. Eaton Rapids Medical Center is registered in the Medicare PECOS enrollment system.
When is Eaton Rapids Medical Center'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 Eaton Rapids Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 11 Medicare specialties reassign their Medicare billing to Eaton Rapids Medical Center. 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 Internal Medicine (15), Nurse Practitioner (13) and Certified Registered Nurse Anesthetist (CRNA) (6). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eaton Rapids Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D1087090) is associated with this NPI, valid through January 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Eaton Rapids Medical Center accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Eaton Rapids Medical Center 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 Eaton Rapids Medical Center was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Springport Medical Clinic · NPI 1588810709
Rural Health organization in Eaton Rapids, Michigan. Organization record, active in the CMS NPPES registry since August 8, 2008.
## Identity
- **NPI:** 1588810709 (Entity type: Organization)
- **Enumerated:** August 8, 2008
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Eaton Rapids Medical Center
- **Organization subpart:** Yes (part of Eaton Rapids Medical Center)
- **Authorized official:** Timothy Johnson, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 1500 S MAIN ST, Eaton Rapids, MI 48827-1952
- **Phone:** (517) 857-4500 · **Fax:** (517) 857-4510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 54 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (15), Nurse Practitioner (13), Certified Registered Nurse Anesthetist (CRNA) (6); 6 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1588810709/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2022
- **Other identifiers:** Other OB37608 (MI); Medicaid 5170569 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1588810709) · Data from the CMS NPPES public registry.