NHBP HEALTH DEPARTMENT
NPI 1770500548
Clinic/Center - Public Health, Federal in Wyoming, MI

Active since July 16, 2006CLIA 23D1022523 · Waiver
4415 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 249-0159(616) 249-8688 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nhbp Health Department NPPES

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

NHBP HEALTH DEPARTMENT (NPI 1770500548) is a healthcare organization registered as a public health, federal in Wyoming, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Rosalind Johnston, Health Director, as its authorized official.

NPPES Registry Identity

NPI1770500548
Entity TypeOrganization
Primary Taxonomy261QP0904X
Legal Business NameNOTTAWASEPPI HURON BAND OF THE POTAWATOMI
Location Address4415 BYRON CENTER AVE SWWyoming, MI 49519-4800
Mailing Address1474 Mno - Bmadzewen WayFulton, MI 49052-9602 · (269) 729-4422 · Fax (269) 729-4460
Fax(616) 249-8688
Organization SubpartNo
Authorized OfficialRosalind JohnstonHealth Director · (269) 729-4422
Enumeration DateJuly 16, 2006
Last NPPES UpdateJuly 9, 2015
✔ NPI 1770500548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, FederalAmbulatory Health Care Facilities
Taxonomy Code261QP0904X
License✔ Licensed in MI · 18732
4415 BYRON CENTER AVE SW, Wyoming, MI 49519

Other Names 1

Doing Business AsNhbp Health Department

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)

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

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Nhbp Health Department, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Clinical Social Worker4
Nurse Practitioner4
Family Practice1
Internal Medicine1
Mental Health Counselor1
Psychiatry1
Registered Dietitian or Nutrition Professional1

Clinicians, nearest first (13)

Psychiatry
NPI 1689056715
300 68TH ST SE
Grand Rapids, MI 49548
(616) 456-0857
✔ PECOS✔ Accepts Medicare4.8 mi
Family Practice
NPI 1063518785
311 STATE ST SE
Grand Rapids, MI 49503
(616) 249-0159
✔ PECOS✔ Accepts Medicare6.2 mi
Clinical Social Worker
NPI 1295359081
311 STATE ST SE
Grand Rapids, MI 49503
(616) 514-3646
✔ PECOS✔ Accepts Medicare6.2 mi
Registered Dietitian or Nutrition Professional
NPI 1609349315
311 STATE ST SE
Grand Rapids, MI 49503
(269) 729-5151
✔ Accepts Medicare6.2 mi
Clinical Social Worker
NPI 1134548951
311 STATE ST SE
Grand Rapids, MI 49503
(616) 249-0159
✔ PECOS6.2 mi
Clinical Social Worker
NPI 1801560529
1115 BALL AVE NE
Grand Rapids, MI 49505
(616) 648-6029
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1093906448
5352 BECKLEY RD
Battle Creek, MI 49015
(269) 979-6888
✔ PECOS51 mi
Mental Health Counselor
NPI 1972829802
3630 CAPITAL AVE SW SUITE 1
Battle Creek, MI 49015
(269) 979-8333
✔ PECOS51 mi
Nurse Practitioner
NPI 1669775821
2221 1 1/2 MILE RD
Fulton, MI 49052
(269) 729-4422
✔ PECOS58 mi
Internal Medicine
NPI 1932144045
420 W HIGH ST
Dowagiac, MI 49047
(269) 783-3082
✔ PECOS✔ Accepts Medicare65 mi
Nurse Practitioner
NPI 1578816765
701 S HEALTH PKWY
Three Rivers, MI 49093
(269) 278-1145
✔ PECOS✔ Accepts Medicare66 mi
Clinical Social Worker
NPI 1083074462
1004 PARKWAY AVE SUITE D
Elkhart, IN 46516
(574) 293-0005
✔ PECOS✔ Accepts Medicare84 mi
Nurse Practitioner
NPI 1578170320
28588 NORTHWESTERN HWY
Southfield, MI 48034
(248) 357-7766
✔ PECOS126 mi

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 23D1022523

Nottawaseppi Huron Band Of The Potawatomi Health Department · Grand Rapids, MI
Active · expires Apr 29, 2028
CLIA Number23D1022523
Laboratory TypeTribal Health Dept
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorLisa Hoekstra
Laboratory Phone(616) 249-0159
Laboratory LocationNottawaseppi Huron Band Of The Potawatomi Health Department311 State Street, Grand Rapids, MI 49503
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 Nottawaseppi Huron Band Of The Potawatomi's NPI number?

The NPI number for Nottawaseppi Huron Band Of The Potawatomi is 1770500548. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Nhbp Health Department.

Where is Nottawaseppi Huron Band Of The Potawatomi located?

Nottawaseppi Huron Band Of The Potawatomi is located at 4415 Byron Center Ave SW, Wyoming, MI 49519. The listed phone number is (616) 249-0159.

What is Nottawaseppi Huron Band Of The Potawatomi's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.

Is Nottawaseppi Huron Band Of The Potawatomi enrolled in Medicare?

Yes. Nottawaseppi Huron Band Of The Potawatomi is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nottawaseppi Huron Band Of The Potawatomi?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 7 Medicare specialties reassign their Medicare billing to Nottawaseppi Huron Band Of The Potawatomi. 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 Clinical Social Worker (4), Nurse Practitioner (4) and Family Practice (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nottawaseppi Huron Band Of The Potawatomi hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1022523) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nottawaseppi Huron Band Of The Potawatomi accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nottawaseppi Huron Band Of The Potawatomi 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 Nottawaseppi Huron Band Of The Potawatomi was last updated on July 9, 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.