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NORTHEND VILLAGE NON-PROFIT
NPI 1861034225
Clinic/Center - Multi-Specialty in Detroit, MI

Active since October 16, 2019
8904 WOODWARD AVE, DETROIT, MI 48202(313) 363-7018(248) 608-8592 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 31, 2022, Dec 19, 2019, Oct 16, 2019 (3 updates tracked since 2019).

About Northend Village Non-profit NPPES

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

NORTHEND VILLAGE NON-PROFIT (NPI 1861034225) is a healthcare organization registered as a multi-specialty in Detroit, Michigan and active in the NPI registry since October 2019. The organization lists Betty Mackie, Member, as its authorized official.

NPPES Registry Identity

NPI1861034225
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNORTHEND VILLAGE NON-PROFIT
Location Address8904 WOODWARD AVEDetroit, MI 48202-1821
Mailing Address22745 Cambridge AveDetroit, MI 48219-1725 · (313) 363-7018 · Fax (248) 608-8592
Phone(313) 363-7018
Fax(248) 608-8592
Organization SubpartNo
Authorized OfficialBetty MackieMember · (313) 363-7018
Enumeration DateOctober 16, 2019
Last NPPES UpdateJanuary 31, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1861034225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
8904 WOODWARD AVE, Detroit, MI 48202
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northend Village Non-profit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Northend Village Non-Profit, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Natalie Woods, CNM
Certified Nurse Midwife (CNM)
NPI 1669832481
100 MACK AVE FL 1
Detroit, MI 48201
(313) 818-8207
✔ PECOS2.7 mi
Christal Eason, LMSW, CAAC
Clinical Social Worker
NPI 1790924470
30560 SOUTHFIELD RD
Southfield, MI 48076
(313) 784-4795
✔ PECOS12 mi

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 Northend Village Non-Profit's NPI number?

The NPI number for Northend Village Non-Profit is 1861034225. It was assigned to this organization in the NPPES registry on October 16, 2019.

Where is Northend Village Non-Profit located?

Northend Village Non-Profit is located at 8904 Woodward Ave, Detroit, MI 48202. The listed phone number is (313) 363-7018.

What is Northend Village Non-Profit's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Northend Village Non-Profit enrolled in Medicare?

Yes. Northend Village Non-Profit is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northend Village Non-Profit?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Northend Village Non-Profit, in Certified Nurse Midwife (CNM) and Clinical Social Worker. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northend Village Non-Profit was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.