NORTHSHORE HEALTH CENTERS, INC.
NPI 1629649751
Clinic/Center - Federally Qualified Health Center (FQHC) in Crown Point, IN
About Northshore Health Centers, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSHORE HEALTH CENTERS, INC. (NPI 1629649751), doing business as Northshore Crown Point Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Crown Point, Indiana and active in the NPI registry since July 2021. The organization lists David Hall, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
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)
Northshore Health Centers, Inc. 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
134Medicare enrollment records show 134 clinicians reassign Medicare billing to Northshore Health Centers, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 134Source: 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 Northshore Health Centers, Inc.'s NPI number?
The NPI number for Northshore Health Centers, Inc. is 1629649751. It was assigned to this organization in the NPPES registry on July 9, 2021. The provider is doing business as NorthShore Crown Point Health Center.
Where is Northshore Health Centers, Inc. located?
Northshore Health Centers, Inc. is located at 10851 Broadway Clinic Suite, North Of Main Entrance, Crown Point, IN 46307. The listed phone number is (219) 763-8112.
What is Northshore Health Centers, 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 Northshore Health Centers, Inc. enrolled in Medicare?
Yes. Northshore Health Centers, Inc. is registered in the Medicare PECOS enrollment system.
When is Northshore Health Centers, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Indiana, Federally Qualified Health Center (FQHC)) 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 Northshore Health Centers, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 134 clinicians in 17 Medicare specialties reassign their Medicare billing to Northshore Health Centers, 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 (36), Pediatric Medicine (20) and Obstetrics/Gynecology (16). Of these, 1 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northshore Health Centers, Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Northshore Health Centers, 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 Northshore Health Centers, Inc. was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Northshore Health Centers, Inc. · NPI 1629649751
Federally Qualified Health Center (FQHC) organization in Crown Point, Indiana. Organization record, active in the CMS NPPES registry since July 9, 2021.
## Identity
- **NPI:** 1629649751 (Entity type: Organization)
- **Enumerated:** July 9, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** NorthShore Crown Point Health Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** David Hall, CEO
## Practice location
- **Address:** 10851 BROADWAY, CLINIC SUITE, NORTH OF MAIN ENTRANCE, Crown Point, IN 46307-7303
- **Phone:** (219) 763-8112 · **Fax:** (219) 764-5380
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, Indiana, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 134 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (36), Pediatric Medicine (20), Obstetrics/Gynecology (16); 1 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1629649751/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629649751) · Data from the CMS NPPES public registry.