DICKINSON MEDICAL SERVICES AT BAYSIDE CLINIC
NPI 1821345646
General Practice in Gladstone, MI
About Dickinson Medical Services At Bayside Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DICKINSON MEDICAL SERVICES AT BAYSIDE CLINIC (NPI 1821345646) is a healthcare organization registered as a general practice in Gladstone, Michigan and active in the NPI registry since August 2012. The organization lists Alicia Henderson, Physician Billing Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Other Names 1
Other Identifiers 3
Group Practice 1
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)
Dickinson Medical Services At Bayside Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Dickinson Medical Services At Bayside Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 Dickinson County Healthcare System's NPI number?
The NPI number for Dickinson County Healthcare System is 1821345646. It was assigned to this organization in the NPPES registry on August 10, 2012. The provider is doing business as Dickinson Medical Services At Bayside Clinic.
Where is Dickinson County Healthcare System located?
Dickinson County Healthcare System is located at 2001 Minneapolis Ave Suite E, Gladstone, MI 49837. The listed phone number is (906) 428-2000.
What is Dickinson County Healthcare System's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Dickinson County Healthcare System enrolled in Medicare?
Yes. Dickinson County Healthcare System is registered in the Medicare PECOS enrollment system.
When is Dickinson County Healthcare System'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 February 28, 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 Dickinson County Healthcare System?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Dickinson County Healthcare System, in Family Practice, Internal Medicine, Nurse Practitioner and Orthopedic Surgery. 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.
When was this NPI record last updated?
The NPPES record for Dickinson County Healthcare System was last updated on August 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dickinson Medical Services At Bayside Clinic · NPI 1821345646
General Practice organization in Gladstone, Michigan. Organization record, active in the CMS NPPES registry since August 10, 2012.
## Identity
- **NPI:** 1821345646 (Entity type: Organization)
- **Enumerated:** August 10, 2012
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Dickinson County Healthcare System
- **Organization subpart:** No
- **Authorized official:** Alicia Henderson, PHYSICIAN BILLING SUPERVISOR
## Practice location
- **Address:** 2001 MINNEAPOLIS AVE, SUITE E, Gladstone, MI 49837-2060
- **Phone:** (906) 428-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2012
- **Other identifiers:** Medicare PIN 0N87160 (MI); Medicare PIN 0B26002 (MI); Medicare PIN 0P17840 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1821345646) · Data from the CMS NPPES public registry.