UNIVERSITY OF MICHIGAN HEALTH-SPARROW ITHACA PRIMARY CARE
NPI 1770553547
Clinic/Center - Rural Health in Ithaca, MI
About University Of Michigan Health-sparrow Ithaca Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNIVERSITY OF MICHIGAN HEALTH-SPARROW ITHACA PRIMARY CARE (NPI 1770553547), doing business as University Of Michigan Health-sparrow, is a healthcare organization registered as a rural health in Ithaca, Michigan and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Misty Gunter Russian, Supervisor, Provider Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 3
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)
University Of Michigan Health-sparrow Ithaca Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
214Medicare enrollment records show 214 clinicians reassign Medicare billing to University Of Michigan Health-Sparrow Ithaca Primary Care, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 214Source: 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 23D0692555
University Of Michigan Health - Sparrow Ithaca Primary Care · Ithaca, 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 Sparrow Carson Hospital's NPI number?
The NPI number for Sparrow Carson Hospital is 1770553547. It was assigned to this organization in the NPPES registry on January 25, 2006. The provider is doing business as University of Michigan Health-Sparrow. The provider is also known as University Of Michigan Health-Sparrow Ithaca Primary Care and Sparrow Medical Group Ithaca.
Where is Sparrow Carson Hospital located?
Sparrow Carson Hospital is located at 114 N Main St, Ithaca, MI 48847. The listed phone number is (989) 875-4166.
What is Sparrow Carson Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Sparrow Carson Hospital enrolled in Medicare?
Yes. Sparrow Carson Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sparrow Carson Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 214 clinicians in 18 Medicare specialties reassign their Medicare billing to Sparrow Carson 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 (60), Emergency Medicine (33) and Anesthesiology (22). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sparrow Carson Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D0692555) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sparrow Carson Hospital accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Sparrow Carson 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 Sparrow Carson Hospital was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# University Of Michigan Health-Sparrow Ithaca Primary Care · NPI 1770553547
Rural Health organization in Ithaca, Michigan. Organization record, active in the CMS NPPES registry since January 25, 2006.
## Identity
- **NPI:** 1770553547 (Entity type: Organization)
- **Enumerated:** January 25, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Sparrow Carson Hospital
- **Also known as:** University of Michigan Health-Sparrow (Doing Business As); Sparrow Medical Group Ithaca (Other Name)
- **Organization subpart:** Yes (part of Sparrow Health System)
- **Authorized official:** Misty Russian, SUPERVISOR, PROVIDER ENROLLMENT
## Practice location
- **Address:** 114 N MAIN ST, Ithaca, MI 48847
- **Phone:** (989) 875-4166 · **Fax:** (989) 875-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 214 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (60), Emergency Medicine (33), Anesthesiology (22); 5 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1770553547/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770553547) · Data from the CMS NPPES public registry.