Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MCLAREN PORT HURON
NPI 1619355930
Family Medicine in Port Huron, MI

Active since May 07, 2015
1221 PINE GROVE AVE, PORT HURON, MI 48060(810) 987-5000 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2026, Jul 30, 2020, May 2, 2019 (3 updates tracked since 2019).

About Mclaren Port Huron NPPES

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

MCLAREN PORT HURON (NPI 1619355930) is a healthcare organization registered as a family medicine in Port Huron, Michigan and active in the NPI registry since May 2015. The organization lists Kyle Christopher Albert Vining, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1619355930
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCLAREN PORT HURON
Location Address1221 PINE GROVE AVEPort Huron, MI 48060-3511
Mailing Address1221 Pine Grove AvePort Huron, MI 48060-3511
Organization SubpartNo
Authorized OfficialKyle Christopher Albert ViningVp/cfo · (810) 989-3700
Enumeration DateMay 7, 2015
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1619355930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1221 PINE GROVE AVE, Port Huron, MI 48060

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)

Mclaren Port Huron is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

87

Medicare enrollment records show 87 clinicians reassign Medicare billing to Mclaren Port Huron, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Nurse Practitioner14
Psychiatry12
General Surgery9
Thoracic Surgery8
Family Practice7
Obstetrics/Gynecology7
Internal Medicine6
Neurology5
10 other specialties19

Nearest to this location (20)

See all 87
Psychiatry
NPI 1528445244
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 985-2614
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1871014944
1221 PINE GROVE AVE MCIAREN PORT HURON
Port Huron, MI 48060
(810) 987-5000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093467136
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 989-3620
✔ PECOSSame address
Nurse Practitioner
NPI 1871016055
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ PECOSSame address
Nurse Practitioner
NPI 1013459320
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1023076866
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 985-2663
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1922074863
1231 PINE GROVE AVENUE SUITE 2B
Port Huron, MI 48060
(810) 987-5500
✔ PECOS✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1598732430
1231 PINE GROVE AVENUE SUITE 2B
Port Huron, MI 48060
(810) 987-5500
✔ PECOS✔ Accepts Medicare0.1 mi
Infectious Disease
NPI 1598731473
1231 PINE GROVE AVE INFECTIOUS DISEASE, SUITE 1B
Port Huron, MI 48060
(810) 966-1993
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1992125223
1231 PINE GROVE AVE STE 2A
Port Huron, MI 48060
(810) 982-8742
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1487280426
1231 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5500
✔ PECOS0.1 mi
Orthopedic Surgery
NPI 1194797654
1231 PINE GROVE AVE SUITE 1A
Port Huron, MI 48060
(810) 985-4300
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1669436184
1231 PINE GROVE AVE SUITE 1A
Port Huron, MI 48060
(810) 985-4300
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1376200352
1231 PINE GROVE AVE STE 1A
Port Huron, MI 48060
(810) 985-4300
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1871569095
1231 PINE GROVE AVE SUITE 2A
Port Huron, MI 48060
(810) 982-8742
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1821087453
1107 STONE ST SUITE 1
Port Huron, MI 48060
(810) 989-6113
✔ PECOS✔ Accepts Medicare0.1 mi
Thoracic Surgery
NPI 1295266112
1117 STONE ST STE 1
Port Huron, MI 48060
(810) 488-8480
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1750379194
1313 STONE ST
Port Huron, MI 48060
(810) 985-2620
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1750479846
1313 STONE ST
Port Huron, MI 48060
(810) 984-3559
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1952410987
1221 RICHARDSON ST
Port Huron, MI 48060
(810) 982-1111
✔ PECOS✔ Accepts Medicare0.2 mi
See all 87 clinicians

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 Mclaren Port Huron's NPI number?

The NPI number for Mclaren Port Huron is 1619355930. It was assigned to this organization in the NPPES registry on May 7, 2015.

Where is Mclaren Port Huron located?

Mclaren Port Huron is located at 1221 Pine Grove Ave, Port Huron, MI 48060. The listed phone number is (810) 987-5000.

What is Mclaren Port Huron's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mclaren Port Huron enrolled in Medicare?

Yes. Mclaren Port Huron is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mclaren Port Huron?

According to the CMS Revalidation Reassignment List (October 2026 release), 87 clinicians in 18 Medicare specialties reassign their Medicare billing to Mclaren Port Huron. 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 Nurse Practitioner (14), Psychiatry (12) and General Surgery (9). Of these, 6 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mclaren Port Huron 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 list Mclaren Port Huron 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 Port Huron was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.