MICHIGAN STATE UNIVERSITY
NPI 1629157979
Clinical Medical Laboratory in East Lansing, MI
About Michigan State University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHIGAN STATE UNIVERSITY (NPI 1629157979) is a healthcare organization registered as a clinical medical laboratory in East Lansing, Michigan and active in the NPI registry since November 2006. The organization lists Lisa M Rucker, Provider Enrollment Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michigan State University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
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 Board Of Trustees Of Michigan State University's NPI number?
The NPI number for Board Of Trustees Of Michigan State University is 1629157979. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is doing business as Michigan State University.
Where is Board Of Trustees Of Michigan State University located?
Board Of Trustees Of Michigan State University is located at 1355 Bogue Street Room B123, East Lansing, MI 48824. The listed phone number is (517) 353-2032.
What is Board Of Trustees Of Michigan State University's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Is Board Of Trustees Of Michigan State University enrolled in Medicare?
Yes. Board Of Trustees Of Michigan State University is registered in the Medicare PECOS enrollment system.
When is Board Of Trustees Of Michigan State University'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, Independent Clinical Laboratory) is due for revalidation by January 31, 2027. 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.
When was this NPI record last updated?
The NPPES record for Board Of Trustees Of Michigan State University was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.