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FAMILY MEDICINE RESIDENCY CENTER
NPI 1659614022
Family Medicine in Monroe, MI

Active since April 03, 2013CLIA 23D2057799 · Waiver
650 STEWARD ROAD, MONROE, MI 48162(734) 240-8430 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Medicine Residency Center NPPES

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

FAMILY MEDICINE RESIDENCY CENTER (NPI 1659614022) is a healthcare organization registered as a family medicine in Monroe, Michigan and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Annette Phillips, Mmhs-ceo, as its authorized official.

NPPES Registry Identity

NPI1659614022
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMERCY MEMORIAL HOSPITAL CORPORATION
Location Address650 STEWARD ROADMonroe, MI 48162
Mailing Address650 Steward RoadMonroe, MI 48162 · (734) 240-8430
Phone(734) 240-8430
Organization SubpartYesParent: Mercy Memorial Hospital System
Authorized OfficialAnnette PhillipsMmhs-ceo · (734) 240-4550
Enumeration DateApril 3, 2013
✔ NPI 1659614022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301069503
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
650 STEWARD ROAD, Monroe, MI 48162
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Other Names 1

Doing Business AsFamily Medicine Residency Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Medicine Residency Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

59

Medicare enrollment records show 59 clinicians reassign Medicare billing to Family Medicine Residency Center, which bills Medicare for the services they deliver. Of these, 26 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Family Practice24
Nurse Practitioner7
Psychiatry5
Certified Nurse Midwife (CNM)4
Clinical Psychologist3
Clinical Social Worker3
Internal Medicine3
Obstetrics/Gynecology3
6 other specialties7

Nearest to this location (20)

See all 59
Sherrill Reeves, M.S.W.
Clinical Social Worker
NPI 1245309715
700 STEWART RD SUITE 105
Monroe, MI 48162
(734) 240-1760
✔ PECOS✔ Accepts Medicare0.1 mi
Susan Revels, LLMSW
Clinical Social Worker
NPI 1255511846
700 STEWART RD STE105
Monroe, MI 48162
(734) 240-1760
✔ PECOS✔ Accepts Medicare0.1 mi
Kelly Magrum, NP-C
Nurse Practitioner
NPI 1043672587
650 STEWART RD
Monroe, MI 48162
(734) 240-8430
✔ PECOS✔ Accepts Medicare0.1 mi
Erica Nanni, D.O.
Family Practice
NPI 1659055119
650 STEWART RD
Monroe, MI 48162
(734) 240-8430
✔ PECOS✔ Accepts Medicare0.1 mi
Laura Grima, MD
Family Practice
NPI 1144200650
650 STEWART RD
Monroe, MI 48162
(734) 240-8430
✔ PECOS✔ Accepts Medicare0.1 mi
Christina Lucas Vougiouklakis, D.O.
Family Practice
NPI 1356559496
650 STEWART RD
Monroe, MI 48162
(734) 240-4594
✔ PECOS✔ Accepts Medicare0.1 mi
Sina Navazi, DO
Family Practice
NPI 1902476344
650 STEWART RD
Monroe, MI 48162
(734) 240-4594
✔ PECOS✔ Accepts Medicare0.1 mi
Khyati Patel, PSYD
Clinical Psychologist
NPI 1285323097
650 STEWART RD
Monroe, MI 48162
(734) 240-8430
✔ PECOS✔ Accepts Medicare0.1 mi
Danielle Saevig, MD
Family Practice
NPI 1255901740
650 STEWART RD
Monroe, MI 48162
(734) 240-8430
✔ PECOS✔ Accepts Medicare0.1 mi
Michelle Scheurich, MD
Family Practice
NPI 1184187809
650 STEWART RD
Monroe, MI 48162
(734) 240-8430
✔ PECOS✔ Accepts Medicare0.1 mi
Carrie Blanchett, NP
Nurse Practitioner
NPI 1063601599
313 STEWART RD
Monroe, MI 48162
(734) 535-8220
✔ PECOS✔ Accepts Medicare0.2 mi
Melani Kekulawala, MD
Family Practice
NPI 1326770645
55 COLE RD
Monroe, MI 48162
(734) 242-2022
✔ PECOS✔ Accepts Medicare0.3 mi
Susan Hulsemann, MD
Family Practice
NPI 1356348718
1086 N MONROE ST
Monroe, MI 48162
(734) 244-5380
✔ PECOS✔ Accepts Medicare0.6 mi
Earl Marshall, MD
Family Practice
NPI 1699296012
1086 N MONROE ST
Monroe, MI 48162
(734) 244-5380
✔ PECOS✔ Accepts Medicare0.6 mi
Samer Mossallam, DO
Obstetrics/Gynecology
NPI 1578545638
1046 N MONROE ST
Monroe, MI 48162
(734) 457-9034
✔ PECOS✔ Accepts Medicare0.6 mi
Thomas Osinowo, M.D.
Psychiatry
NPI 1518044585
730 N MONROE ST # 200
Monroe, MI 48162
(734) 240-1760
✔ PECOS✔ Accepts Medicare0.8 mi
Michael Charboneau, DO
General Surgery
NPI 1619986213
730 N MACOMB ST SUITE 329
Monroe, MI 48162
(734) 240-5860
✔ PECOS✔ Accepts Medicare0.9 mi
Tracy Gomez, PSYD LP
Clinical Psychologist
NPI 1164606273
730 N MACOMB ST STE 200
Monroe, MI 48162
(734) 240-1760
✔ PECOS0.9 mi
Debra Remley, ANCC
Nurse Practitioner
NPI 1548592249
730 N MACOMB ST STE 200
Monroe, MI 48162
(734) 240-1760
✔ PECOS✔ Accepts Medicare0.9 mi
John Moore, APRN. CNP
Nurse Practitioner
NPI 1720794167
718 N MACOMB ST
Monroe, MI 48162
(419) 708-8228
✔ PECOS✔ Accepts Medicare1.0 mi
See all 59 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 23D2057799

Family Medicine Residency Center · Monroe, MI
Active · expires Jun 30, 2027
CLIA Number23D2057799
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorNicholas Schenk
Laboratory Phone(734) 240-8430
Laboratory LocationFamily Medicine Residency Center650 Stewart Road, Monroe, MI 48162
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 Mercy Memorial Hospital Corporation's NPI number?

The NPI number for Mercy Memorial Hospital Corporation is 1659614022. It was assigned to this organization in the NPPES registry on April 3, 2013. The provider is doing business as Family Medicine Residency Center.

Where is Mercy Memorial Hospital Corporation located?

Mercy Memorial Hospital Corporation is located at 650 Steward Road, Monroe, MI 48162. The listed phone number is (734) 240-8430.

What is Mercy Memorial Hospital Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mercy Memorial Hospital Corporation enrolled in Medicare?

Yes. Mercy Memorial Hospital Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Memorial Hospital Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 14 Medicare specialties reassign their Medicare billing to Mercy Memorial Hospital Corporation. 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 (24), Nurse Practitioner (7) and Psychiatry (5). Of these, 26 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mercy Memorial Hospital Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2057799) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Memorial Hospital Corporation accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mercy Memorial Hospital Corporation 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 Mercy Memorial Hospital Corporation was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.