THUNDER BAY CLINIC MANAGEMENT INC
NPI 1790746964
Urology in Alpena, MI
About Thunder Bay Clinic Management Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THUNDER BAY CLINIC MANAGEMENT INC (NPI 1790746964) is a healthcare organization registered as an urology in Alpena, Michigan and active in the NPI registry since March 2006. The organization lists Jane E Hardies, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Thunder Bay Clinic Management Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Thunder Bay Clinic Management Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: 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 Thunder Bay Clinic Management Inc's NPI number?
The NPI number for Thunder Bay Clinic Management Inc is 1790746964. It was assigned to this organization in the NPPES registry on March 29, 2006.
Where is Thunder Bay Clinic Management Inc located?
Thunder Bay Clinic Management Inc is located at 1065 Us 23 North, Alpena, MI 49707. The listed phone number is (989) 354-0607.
What is Thunder Bay Clinic Management Inc's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Thunder Bay Clinic Management Inc enrolled in Medicare?
Yes. Thunder Bay Clinic Management Inc is registered in the Medicare PECOS enrollment system.
When is Thunder Bay Clinic Management Inc'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 January 31, 2027. 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 Thunder Bay Clinic Management Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Thunder Bay Clinic Management Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Thunder Bay Clinic Management Inc accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Thunder Bay Clinic Management Inc 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 Thunder Bay Clinic Management Inc was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Thunder Bay Clinic Management Inc · NPI 1790746964
Urology organization in Alpena, Michigan. Organization record, active in the CMS NPPES registry since March 29, 2006.
## Identity
- **NPI:** 1790746964 (Entity type: Organization)
- **Enumerated:** March 29, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Jane Hardies, OFFICE MANAGER
## Practice location
- **Address:** 1065 US 23 NORTH, Alpena, MI 49707
- **Phone:** (989) 354-0607 · **Fax:** (989) 356-6710
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Urology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2010
- **Other identifiers:** Medicaid 3438729 (MI); Medicare UPIN G16756; Medicare PIN 0M17350 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1790746964) · Data from the CMS NPPES public registry.