PHYSICIAN HEALTHCARE NETWORK, PC
NPI 1750334405
Family Medicine in Marysville, MI
About Physician Healthcare Network, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSICIAN HEALTHCARE NETWORK, PC (NPI 1750334405) is a healthcare organization registered as a family medicine in Marysville, Michigan and active in the NPI registry since May 2006. The organization holds 3 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Mimma Cusumano, Director Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
Secondary Practice Locations 5
Other Identifiers 1
Group Practice 1
Accepted 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)
Physician Healthcare Network, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Physician Healthcare Network, PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 26Source: 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 3
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 23D0935908
Physician Healthcare Network · Port Huron, MICertificate of Waiver 23D2211876
Physician Healthcare Network Pediatrics · Fort Gratiot, MICertificate of Waiver 23D0364243
Physician Healthcare Network, PC · Fort Gratiot, MIFrequently 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 Physician Healthcare Network, PC's NPI number?
The NPI number for Physician Healthcare Network, PC is 1750334405. It was assigned to this organization in the NPPES registry on May 17, 2006.
Where is Physician Healthcare Network, PC located?
Physician Healthcare Network, PC is located at 3350 Gratiot Blvd, Marysville, MI 48040. The listed phone number is (810) 364-4000.
What is Physician Healthcare Network, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Physician Healthcare Network, PC enrolled in Medicare?
Yes. Physician Healthcare Network, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Physician Healthcare Network, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 4 Medicare specialties reassign their Medicare billing to Physician Healthcare Network, PC. 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 (16), Family Practice (8) and Gastroenterology (1). Of these, 6 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Physician Healthcare Network, PC hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Physician Healthcare Network, PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Physician Healthcare Network, PC 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 Physician Healthcare Network, PC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Physician Healthcare Network, Pc · NPI 1750334405
Family Medicine organization in Marysville, Michigan. Organization record, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1750334405 (Entity type: Organization)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mimma Cusumano, DIRECTOR OF FINANCE
## Practice location
- **Address:** 3350 GRATIOT BLVD, Marysville, MI 48040-2121
- **Phone:** (810) 364-4000 · **Fax:** (810) 364-5995
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 26 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Family Practice (8), Gastroenterology (1); 6 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1750334405/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2026
- **Other identifiers:** Medicaid 1750334405 (MI)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750334405) · Data from the CMS NPPES public registry.