MYCARE HEALTH CENTER
NPI 1639573033
Clinic/Center - Federally Qualified Health Center (FQHC) in Clinton Township, MI

Active since October 14, 2014CLIA 23D2094405 · Waiver
43740 GROESBECK, CLINTON TOWNSHIP, MI 48036(586) 493-0961(586) 493-1001 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2020, Jul 17, 2018 (2 updates tracked since 2018).

About Mycare Health Center NPPES

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

MYCARE HEALTH CENTER (NPI 1639573033) is a healthcare organization registered as a federally qualified health center (fqhc) in Clinton Township, Michigan and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Karen Wood, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1639573033
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMYCARE HEALTH CENTER
Location Address43740 GROESBECKClinton Township, MI 48036
Mailing Address6800 E 10 Mile RdCenter Line, MI 48015-1167 · (586) 619-9986 · Fax (586) 783-6944
Fax(586) 493-1001
Organization SubpartNo
Authorized OfficialKaren WoodC.e.o. · (586) 619-9986
Enumeration DateOctober 14, 2014
Last NPPES UpdateJuly 7, 20202 updates tracked since enumeration
NPPES CertifiedJuly 7, 2020
✔ NPI 1639573033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
43740 GROESBECK, Clinton Township, MI 48036

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)

Mycare Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20110329000826Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Mycare Health Center, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner8
Family Practice4
Clinical Social Worker3
Dentist3
Psychiatry2
Emergency Medicine1
Obstetrics/Gynecology1
Oral Surgery1
1 other specialty1

Nearest to this location (20)

See all 24
Family Practice
NPI 1093026262
18 MARKET ST STE C
Mount Clemens, MI 48043
(586) 783-2222
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1356834600
18 MARKET ST STE C
Mount Clemens, MI 48043
(586) 783-2222
✔ PECOS✔ Accepts Medicare1.4 mi
Clinical Social Worker
NPI 1902211998
18 MARKET ST STE C
Mount Clemens, MI 48043
(586) 783-2222
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1174129381
18 MARKET ST STE C
Mount Clemens, MI 48043
(586) 783-2222
✔ PECOS✔ Accepts Medicare1.4 mi
Dentist
NPI 1609558683
18 MARKET ST STE C
Mount Clemens, MI 48043
(586) 783-2222
✔ PECOS1.4 mi
Clinical Social Worker
NPI 1174975031
18 MARKET ST STE C
Mount Clemens, MI 48043
(586) 783-2222
✔ PECOS1.4 mi
Family Practice
NPI 1205847175
18 MARKET ST STE C
Mount Clemens, MI 48043
(586) 783-2222
✔ PECOS1.4 mi
Obstetrics/Gynecology
NPI 1659303626
51221 SCHOENHERR, SUITE 201
Shelby Township, MI 48315
(586) 254-3545
✔ PECOS✔ Accepts Medicare6.8 mi
Nurse Practitioner
NPI 1497433288
455 BARCLAY CIR # 2B
Rochester Hills, MI 48307
(248) 230-8930
✔ PECOS✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1306373873
6900 E 10 MILE RD
Center Line, MI 48015
(586) 756-7777
✔ PECOS12 mi
Family Practice
NPI 1760988679
6900 E 10 MILE RD
Center Line, MI 48015
(586) 756-7777
✔ PECOS✔ Accepts Medicare12 mi
Dentist
NPI 1205103728
6900 E 10 MILE RD
Center Line, MI 48015
(586) 467-0980
✔ PECOS12 mi
Podiatry
NPI 1124060132
2530 CROOKS RD
Royal Oak, MI 48073
(248) 435-4777
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1487136552
1428 S LAPEER RD
Lake Orion, MI 48360
(248) 693-0543
✔ PECOS21 mi
Nurse Practitioner
NPI 1245585710
1685 BALDWIN AVE
Pontiac, MI 48340
(248) 999-9999
✔ PECOS✔ Accepts Medicare22 mi
Dentist
NPI 1740666213
25025 W 10 MILE RD
Southfield, MI 48033
(313) 678-6257
✔ PECOS23 mi
Nurse Practitioner
NPI 1932534674
26677 W 12 MILE RD STE 166
Southfield, MI 48034
(313) 306-2023
✔ PECOS23 mi
Nurse Practitioner
NPI 1841476363
5901 CHASE RD STE 210
Dearborn, MI 48126
(832) 869-4818
✔ PECOS✔ Accepts Medicare25 mi
Psychiatry
NPI 1073827275
18200 OAKWOOD BLVD
Dearborn, MI 48124
(947) 524-2760
✔ PECOS✔ Accepts Medicare28 mi
Oral Surgery
NPI 1477840544
4321 TALMADGE RD
Toledo, OH 43623
(419) 724-1657
✔ PECOS75 mi
See all 24 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2094405

Mycare Health Center · Clinton Township, MI
Active · expires Apr 15, 2027
CLIA Number23D2094405
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorDonyelle P. Moore-Baldwin
Laboratory Phone(586) 493-0961
Laboratory LocationMycare Health Center43740 North Groesbeck Hwy, Clinton Township, MI 48036
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mycare Health Center's NPI number?

The NPI number for Mycare Health Center is 1639573033. It was assigned to this organization in the NPPES registry on October 14, 2014.

Where is Mycare Health Center located?

Mycare Health Center is located at 43740 Groesbeck, Clinton Township, MI 48036. The listed phone number is (586) 493-0961.

What is Mycare Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Mycare Health Center enrolled in Medicare?

Yes. Mycare Health Center is registered in the Medicare PECOS enrollment system.

When is Mycare Health Center'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 November 30, 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 Mycare Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 9 Medicare specialties reassign their Medicare billing to Mycare Health Center. 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 (8), Family Practice (4) and Clinical Social Worker (3). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mycare Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2094405) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mycare Health Center accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Mycare Health Center 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 Mycare Health Center was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.