MICHIGAN STATE UNIVERSITY
NPI 1851470744
Family Medicine in East Lansing, MI

Active since November 03, 2006
804 SERVICE RD, STE A217, EAST LANSING, MI 48824(517) 353-8122(517) 432-3928 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michigan State University NPPES

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

MICHIGAN STATE UNIVERSITY (NPI 1851470744) is a healthcare organization registered as a family medicine in East Lansing, Michigan and active in the NPI registry since November 2006. The organization lists Lisa M Rucker, Enrollment & Patient Accts Manager, as its authorized official.

NPPES Registry Identity

NPI1851470744
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMICHIGAN STATE UNIVERSITY
Location Address804 SERVICE RD, STE A217East Lansing, MI 48824-7015
Mailing Address804 Service Rd # A109fEast Lansing, MI 48824-7015 · (517) 884-2976 · Fax (517) 432-3928
Fax(517) 432-3928
Organization SubpartNo
Authorized OfficialLisa M RuckerEnrollment & Patient Accts Manager · (517) 355-8462
Enumeration DateNovember 3, 2006
Last NPPES UpdateApril 5, 2018
✔ NPI 1851470744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedGeneral PracticeTaxonomy 208D00000X
804 SERVICE RD, East Lansing, MI 48824

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Michigan State University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by December 31, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. 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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20031106000079Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
StateMichiganEnrollment IDO20031218000492Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

162

Medicare enrollment records show 162 clinicians reassign Medicare billing to Michigan State University, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 134 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Pediatric Medicine21
Internal Medicine19
Osteopathic Manipulative Medicine14
Neurology13
Nurse Practitioner13
Psychiatry13
Family Practice9
Physical Medicine and Rehabilitation8
23 other specialties52

Nearest to this location (20)

See all 162
Neurology
NPI 1477563096
804 SERVICE RD # A217
East Lansing, MI 48824
(517) 353-8122
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1831365170
804 SERVICE RD ROOM A225
East Lansing, MI 48824
(517) 353-4941
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1750339388
804 SERVICE ROAD ROOM A204
East Lansing, MI 48824
(517) 353-4920
✔ PECOS✔ Accepts MedicareSame address
Neuropsychiatry
NPI 1942523709
804 SERVICE RD # A217
East Lansing, MI 48824
(517) 353-8122
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1568406874
804 SERVICE RD ROOM A1423
East Lansing, MI 48824
(517) 353-3050
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1891703666
804 SERVICE ROAD ROOM A225
East Lansing, MI 48824
(517) 353-4941
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1730344789
804 SERVICE RD A-217
East Lansing, MI 48824
(517) 353-8122
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023314812
804 SERVICE RD A217
East Lansing, MI 48824
(517) 353-8122
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1972794774
804 SERVICE RD # A217
East Lansing, MI 48824
(517) 353-8122
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1285733162
A110 CLINICAL CTR
East Lansing, MI 48824
(517) 353-3003
✔ PECOSSame address
Family Practice
NPI 1275630501
804 SERVICE RD ROOM A142
East Lansing, MI 48824
(517) 353-3050
✔ PECOSSame address
Hematology/Oncology
NPI 1376571000
804 SERVICE ROAD ROOM B240
East Lansing, MI 48824
(517) 355-8998
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1710299458
804 SERVICE RD A225
East Lansing, MI 48824
(517) 353-4941
✔ PECOS✔ Accepts Medicare0.1 mi
Osteopathic Manipulative Medicine
NPI 1003179573
4660 S HAGADORN RD #500
East Lansing, MI 48823
(517) 432-6144
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1932366309
4660 SOUTH HAGADORN ROAD SUITE 600
East Lansing, MI 48823
(517) 267-2460
✔ PECOS✔ Accepts Medicare0.3 mi
Psychiatry
NPI 1548521594
909 FEE RD
East Lansing, MI 48824
(551) 735-3307
✔ PECOS✔ Accepts Medicare0.3 mi
Physical Medicine and Rehabilitation
NPI 1861628430
4660 S HAGADORN RD STE 500
East Lansing, MI 48823
(517) 884-8701
✔ PECOS✔ Accepts Medicare0.4 mi
Neurology
NPI 1245675982
4660 S HAGADORN RD STE 270
East Lansing, MI 48823
(517) 353-8122
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1548494750
4650 S HAGADORN RD STE 100
East Lansing, MI 48823
(517) 353-4830
✔ PECOS✔ Accepts Medicare0.4 mi
Endocrinology
NPI 1710928015
4650 S HAGADORN RD STE 100
East Lansing, MI 48823
(517) 353-4830
✔ PECOS✔ Accepts Medicare0.4 mi
See all 162 clinicians

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 Michigan State University's NPI number?

The NPI number for Michigan State University is 1851470744. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Michigan State University located?

Michigan State University is located at 804 Service Rd Ste A217, East Lansing, MI 48824. The listed phone number is (517) 353-8122.

What is Michigan State University's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michigan State University enrolled in Medicare?

Yes. Michigan State University is registered in the Medicare PECOS enrollment system.

When is Michigan State University's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Michigan State University holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice). 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 Michigan State University?

According to the CMS Revalidation Reassignment List (October 2026 release), 162 clinicians in 31 Medicare specialties reassign their Medicare billing to Michigan State University. 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 Pediatric Medicine (21), Internal Medicine (19) and Osteopathic Manipulative Medicine (14). Of these, 12 practice at this address and 134 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michigan State University accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Michigan State University 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 Michigan State University was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.