HENRY FORD HEALTH ST. JOHN HOSPITAL
NPI 1700831500
Nurse Practitioner in Detroit, MI
About Henry Ford Health St. John Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENRY FORD HEALTH ST. JOHN HOSPITAL (NPI 1700831500) is a healthcare organization registered as a nurse practitioner in Detroit, Michigan and active in the NPI registry since May 2006. The organization lists Kimberly Cebalt, Manager Provider Affairs, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 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)
Henry Ford Health St. John Hospital 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
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Henry Ford Health St. John Hospital, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 30Source: 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 Henry Ford Health St. John Hospital's NPI number?
The NPI number for Henry Ford Health St. John Hospital is 1700831500. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is also known as St John Hospital Nurse Practitioner.
Where is Henry Ford Health St. John Hospital located?
Henry Ford Health St. John Hospital is located at 1 Ford Pl Ste 3A, Detroit, MI 48202. The listed phone number is (248) 680-8000.
What is Henry Ford Health St. John Hospital's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Henry Ford Health St. John Hospital enrolled in Medicare?
Yes. Henry Ford Health St. John Hospital is registered in the Medicare PECOS enrollment system.
When is Henry Ford Health St. John Hospital'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 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 Henry Ford Health St. John Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 3 Medicare specialties reassign their Medicare billing to Henry Ford Health St. John Hospital. 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 (27), Certified Clinical Nurse Specialist (CNS) (2) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Henry Ford Health St. John Hospital accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Henry Ford Health St. John Hospital 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 Henry Ford Health St. John Hospital was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Henry Ford Health St. John Hospital · NPI 1700831500
Nurse Practitioner organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1700831500 (Entity type: Organization)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Also known as:** St John Hospital Nurse Practitioner (Other Name)
- **Organization subpart:** No
- **Authorized official:** Kimberly Cebalt, MANAGER PROVIDER AFFAIRS
## Practice location
- **Address:** 1 FORD PL STE 3A, Detroit, MI 48202-3450
- **Phone:** (248) 680-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 30 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (27), Certified Clinical Nurse Specialist (CNS) (2), Internal Medicine (1); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1700831500/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2026
- **Other identifiers:** Other OH 21741 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1700831500) · Data from the CMS NPPES public registry.