FENNVILLE MEDICAL CENTER
NPI 1861979502
Clinic/Center - Rural Health in Fennville, MI

Active since July 25, 2018
200 N MAPLE ST, FENNVILLE, MI 49408(269) 561-8761(269) 686-5438 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 31, 2023, Aug 18, 2021, Jul 23, 2020 and 1 more (4 updates tracked since 2018).

About Fennville Medical Center NPPES

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

FENNVILLE MEDICAL CENTER (NPI 1861979502) is a healthcare organization registered as a rural health in Fennville, Michigan and active in the NPI registry since July 2018. The organization lists Marina Houghton, Cfo, as its authorized official.

NPPES Registry Identity

NPI1861979502
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameASCENSION BORGESS ALLEGAN HOSPITAL
Location Address200 N MAPLE STFennville, MI 49408-8478
Mailing Address1717 Shaffer Street, Suite 002Kalamazoo, MI 49048 · Fax (269) 552-2964
Fax(269) 686-5438
Organization SubpartNo
Authorized OfficialMarina HoughtonCfo · (269) 226-4800
Enumeration DateJuly 25, 2018
Last NPPES UpdateMay 31, 20234 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
✔ NPI 1861979502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
200 N MAPLE ST, Fennville, MI 49408

Other Names 1

Doing Business AsFennville Medical Center

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)

Fennville Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20100823000998Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

41

Medicare enrollment records show 41 clinicians reassign Medicare billing to Fennville Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner12
Family Practice7
General Surgery5
Hematology/Oncology3
Internal Medicine3
Medical Oncology3
Orthopedic Surgery3
Colorectal Surgery (Proctology)1
4 other specialties4

Nearest to this location (20)

See all 41
Nurse Practitioner
NPI 1477187813
200 N MAPLE ST
Fennville, MI 49408
(269) 561-8761
✔ PECOSSame address
Pediatric Medicine
NPI 1629130703
551 LINN ST
Allegan, MI 49010
(269) 686-5800
✔ PECOS14 mi
Nurse Practitioner
NPI 1073830428
551 LINN ST
Allegan, MI 49010
(269) 686-5800
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1316928161
551 LINN STREET
Allegan, MI 49010
(269) 686-5800
✔ PECOS14 mi
Family Practice
NPI 1255312047
551 LINN ST SUITE 150
Allegan, MI 49010
(269) 686-5800
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1538192935
551 LINN ST
Allegan, MI 49010
(269) 686-5800
✔ PECOS14 mi
Family Practice
NPI 1720081458
551 LINN ST
Allegan, MI 49010
(269) 686-5800
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1295733061
551 LINN ST
Allegan, MI 49010
(269) 686-5800
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1740797513
551 LINN ST
Allegan, MI 49010
(269) 686-5800
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1790096295
551 LINN ST SUITE 150
Allegan, MI 49010
(269) 686-5800
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1861441115
551 LINN ST SUITE 150
Allegan, MI 49010
(269) 686-5800
✔ PECOS14 mi
Nurse Practitioner
NPI 1396394417
555 LINN ST
Allegan, MI 49010
(269) 686-5800
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1124037148
8333 FELCH ST SUITE 200
Zeeland, MI 49464
(616) 748-2850
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1427251701
345 NAOMI ST
Plainwell, MI 49080
(269) 552-0100
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1487204020
2520 ROBERT JONES WAY
Kalamazoo, MI 49009
(269) 552-0420
✔ PECOS✔ Accepts Medicare29 mi
General Surgery
NPI 1881691178
1000 OAKLAND DR
Kalamazoo, MI 49008
(269) 337-6260
✔ PECOS✔ Accepts Medicare34 mi
Hematology/Oncology
NPI 1053630749
200 N PARK ST
Kalamazoo, MI 49007
(269) 373-7488
✔ PECOS✔ Accepts Medicare34 mi
Internal Medicine
NPI 1508846940
601 JOHN ST BOX 74 BRONSON INTERNAL MEDICINE SPECIALIST
Kalamazoo, MI 49007
(269) 341-8481
✔ PECOS✔ Accepts Medicare34 mi
Orthopedic Surgery
NPI 1013124015
320 E CHICAGO ST
Coldwater, MI 49036
(517) 279-5050
✔ PECOS✔ Accepts Medicare72 mi
Hematology
NPI 1518341494
401 W GREENLAWN AVE
Lansing, MI 48910
(517) 975-9500
✔ PECOS79 mi
See all 41 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 Ascension Borgess Allegan Hospital's NPI number?

The NPI number for Ascension Borgess Allegan Hospital is 1861979502. It was assigned to this organization in the NPPES registry on July 25, 2018. The provider is doing business as Fennville Medical Center.

Where is Ascension Borgess Allegan Hospital located?

Ascension Borgess Allegan Hospital is located at 200 N Maple St, Fennville, MI 49408. The listed phone number is (269) 561-8761.

What is Ascension Borgess Allegan Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Ascension Borgess Allegan Hospital enrolled in Medicare?

Yes. Ascension Borgess Allegan Hospital is registered in the Medicare PECOS enrollment system.

When is Ascension Borgess Allegan Hospital'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 December 31, 2026. 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 Ascension Borgess Allegan Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 12 Medicare specialties reassign their Medicare billing to Ascension Borgess Allegan 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 (12), Family Practice (7) and General Surgery (5). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ascension Borgess Allegan Hospital was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.