Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

W.A. FOOTE MEMORIAL HOSPITAL
NPI 1891232740
Pediatrics in Jackson, MI

Active since January 30, 2017
205 N. EAST AVE, JACKSON, MI 49201(517) 841-7843(517) 841-7419 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2024, Mar 2, 2017, Jan 30, 2017 (3 updates tracked since 2017).

About W.a. Foote Memorial Hospital NPPES

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

W.A. FOOTE MEMORIAL HOSPITAL (NPI 1891232740), doing business as Henry Ford Allegiance Health, is a healthcare organization registered as a pediatrics in Jackson, Michigan and active in the NPI registry since January 2017. The organization lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1891232740
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameW.A. FOOTE MEMORIAL HOSPITAL
Location Address205 N. EAST AVEJackson, MI 49201
Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (800) 999-5829 · Fax (248) 641-4840
Fax(517) 841-7419
Organization SubpartNo
Authorized OfficialKimberly CebaltDirector · (313) 874-6764
Enumeration DateJanuary 30, 2017
Last NPPES UpdateOctober 22, 20263 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1891232740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 1060000044
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
205 N. EAST AVE, Jackson, MI 49201

Other Names 2

Doing Business AsHenry Ford Allegiance Health
Doing Business AsHenry Ford Jackson Health

Other Identifiers 1

Medicaid1265806343MI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

W.a. Foote Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

62

Medicare enrollment records show 62 clinicians reassign Medicare billing to W.A. Foote Memorial Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Neurology32
Pediatric Medicine17
Psychiatry9
Cardiovascular Disease (Cardiology)1
Neurosurgery1
Nurse Practitioner1
Pain Management1

Nearest to this location (20)

See all 62
Pediatric Medicine
NPI 1588357602
205 N EAST AVE
Jackson, MI 49201
(517) 205-5710
✔ PECOSSame address
Neurology
NPI 1851735831
1201 E MICHIGAN AVE STE 240
Jackson, MI 49201
(517) 205-7620
✔ PECOS✔ Accepts Medicare9.8 mi
Neurology
NPI 1275627366
1201 E MICHIGAN AVE STE 230
Jackson, MI 49201
(517) 817-7620
✔ PECOS✔ Accepts Medicare9.9 mi
Pediatric Medicine
NPI 1831751643
205 N EAST AVE
Jackson, MI 49201
(517) 205-5710
✔ PECOS11 mi
Pediatric Medicine
NPI 1376069682
205 N EAST AVE
Jackson, MI 49201
(517) 205-5710
✔ PECOS11 mi
Psychiatry
NPI 1699732677
205 N EAST AVE
Jackson, MI 49201
(517) 788-4730
✔ PECOS✔ Accepts Medicare11 mi
Pediatric Medicine
NPI 1447754437
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ PECOS11 mi
Pediatric Medicine
NPI 1477012797
205 N EAST AVE
Jackson, MI 49201
(517) 205-5710
✔ PECOS11 mi
Psychiatry
NPI 1437116118
205 N EAST AVE
Jackson, MI 49201
(517) 788-4730
✔ PECOS✔ Accepts Medicare11 mi
Pediatric Medicine
NPI 1255395612
760 W FRANKLIN ST
Jackson, MI 49201
(517) 780-9260
✔ PECOS11 mi
Pediatric Medicine
NPI 1669427027
760 W FRANKLIN ST
Jackson, MI 49201
(517) 780-9260
✔ PECOS11 mi
Pediatric Medicine
NPI 1245201607
760 W FRANKLIN ST
Jackson, MI 49201
(517) 205-2700
✔ PECOS11 mi
Nurse Practitioner
NPI 1669800975
760 W FRANKLIN ST
Jackson, MI 49201
(517) 780-9260
✔ PECOS11 mi
Pediatric Medicine
NPI 1467831149
1500 E. MEDICAL CENTER DRIVE D3230 MPB, SPC 5718
Ann Arbor, MI 48109
(734) 763-9251
✔ PECOS24 mi
Neurosurgery
NPI 1831584499
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
(734) 936-4000
✔ PECOS✔ Accepts Medicare24 mi
Pediatric Medicine
NPI 1659313799
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
(734) 936-4000
✔ PECOS✔ Accepts Medicare24 mi
Neurology
NPI 1255428967
777 KIMOLE LN STE 250
Adrian, MI 49221
(419) 291-3900
✔ PECOS✔ Accepts Medicare25 mi
Pediatric Medicine
NPI 1790791952
4260 PLYMOUTH RD
Ann Arbor, MI 48109
(734) 647-5670
✔ PECOS27 mi
Neurology
NPI 1487896254
4260 PLYMOUTH RD
Ann Arbor, MI 48109
(734) 647-5650
✔ PECOS27 mi
Psychiatry
NPI 1114138633
7960 GRAND RIVER RD SUIT 110
Brighton, MI 48114
(810) 844-7300
✔ PECOS✔ Accepts Medicare30 mi
See all 62 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 W.A. Foote Memorial Hospital's NPI number?

The NPI number for W.A. Foote Memorial Hospital is 1891232740. It was assigned to this organization in the NPPES registry on January 30, 2017. The provider is doing business as Henry Ford Allegiance Health and Henry Ford Jackson Health.

Where is W.A. Foote Memorial Hospital located?

W.A. Foote Memorial Hospital is located at 205 N. East Ave, Jackson, MI 49201. The listed phone number is (517) 841-7843.

What is W.A. Foote Memorial Hospital's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is W.A. Foote Memorial Hospital enrolled in Medicare?

Yes. W.A. Foote Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through W.A. Foote Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 7 Medicare specialties reassign their Medicare billing to W.A. Foote Memorial 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 Neurology (32), Pediatric Medicine (17) and Psychiatry (9). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does W.A. Foote Memorial Hospital accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list W.A. Foote Memorial Hospital 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 W.A. Foote Memorial Hospital was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.