FRUITPORT FAMILY MEDICINE
NPI 1639502701
Family Medicine in Fruitport, MI
About Fruitport Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRUITPORT FAMILY MEDICINE (NPI 1639502701) is a healthcare organization registered as a family medicine in Fruitport, Michigan and active in the NPI registry since August 2013. The organization lists Michelle Lohman, Regional Director Phy Rev Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fruitport Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
147Medicare enrollment records show 147 clinicians reassign Medicare billing to Fruitport Family Medicine, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 90 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 147Source: 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 Mercy Physician Network's NPI number?
The NPI number for Mercy Physician Network is 1639502701. It was assigned to this organization in the NPPES registry on August 13, 2013. The provider is doing business as Fruitport Family Medicine.
Where is Mercy Physician Network located?
Mercy Physician Network is located at 3443 Farr Rd, Fruitport, MI 49415. The listed phone number is (231) 672-2900.
What is Mercy Physician Network's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mercy Physician Network enrolled in Medicare?
Yes. Mercy Physician Network is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mercy Physician Network?
According to the CMS Revalidation Reassignment List (October 2026 release), 147 clinicians in 11 Medicare specialties reassign their Medicare billing to Mercy Physician Network. 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 Family Practice (50), Nurse Practitioner (39) and Clinical Social Worker (23). Of these, 9 practice at this address and 90 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mercy Physician Network was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Fruitport Family Medicine · NPI 1639502701
Family Medicine organization in Fruitport, Michigan. Organization record, active in the CMS NPPES registry since August 13, 2013.
## Identity
- **NPI:** 1639502701 (Entity type: Organization)
- **Enumerated:** August 13, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Mercy Physician Network
- **Organization subpart:** Yes (part of Mercy Health Partners)
- **Authorized official:** Michelle Lohman, REGIONAL DIRECTOR PHY REV CYCLE
## Practice location
- **Address:** 3443 FARR RD, Fruitport, MI 49415-8779
- **Phone:** (231) 672-2900 · **Fax:** (231) 672-2901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 147 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (50), Nurse Practitioner (39), Clinical Social Worker (23); 9 practice at this address and 90 within 10 miles; [full list](https://npiprofile.com/npi/1639502701/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2015
- **Other identifiers:** Other 0N33870 (MI); Other 0N33890 (MI); Other 0N28430 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1639502701) · Data from the CMS NPPES public registry.