HACKLEY COMMUNITY CARE CENTER INC
NPI 1629066238
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI
About Hackley Community Care Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HACKLEY COMMUNITY CARE CENTER INC (NPI 1629066238) is a healthcare organization registered as a federally qualified health center (fqhc) in Muskegon, Michigan and active in the NPI registry since October 2005. The organization lists Wayne H Kohn, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
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)
Hackley Community Care Center Inc 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.
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Hackley Community Care Center Inc, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 32Source: 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 Hackley Community Care Center Inc's NPI number?
The NPI number for Hackley Community Care Center Inc is 1629066238. It was assigned to this organization in the NPPES registry on October 7, 2005.
Where is Hackley Community Care Center Inc located?
Hackley Community Care Center Inc is located at 2700 Baker St 3rd Floor, Muskegon, MI 49444. The listed phone number is (231) 737-1335.
What is Hackley Community Care Center 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 Hackley Community Care Center Inc enrolled in Medicare?
Yes. Hackley Community Care Center Inc is registered in the Medicare PECOS enrollment system.
When is Hackley Community Care Center Inc'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 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.
How many clinicians bill Medicare through Hackley Community Care Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 7 Medicare specialties reassign their Medicare billing to Hackley Community Care Center 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 Nurse Practitioner (10), Family Practice (8) and Clinical Social Worker (7). Of these, 14 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Hackley Community Care Center 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 list Hackley Community Care Center 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 Hackley Community Care Center Inc was last updated on November 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Hackley Community Care Center Inc · NPI 1629066238
Federally Qualified Health Center (FQHC) organization in Muskegon, Michigan. Organization record, active in the CMS NPPES registry since October 7, 2005.
## Identity
- **NPI:** 1629066238 (Entity type: Organization)
- **Enumerated:** October 7, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Wayne Kohn, MEDICAL DIRECTOR
## Practice location
- **Address:** 2700 BAKER ST, 3RD FLOOR, Muskegon, MI 49444-2157
- **Phone:** (231) 737-1335 · **Fax:** (231) 737-0534
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 32 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (8), Clinical Social Worker (7); 14 practice at this address and 28 within 10 miles; [full list](https://npiprofile.com/npi/1629066238/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 24, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 0M15940 (MI); Medicare OSCAR/certification 231858 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1629066238) · Data from the CMS NPPES public registry.