MICHIGAN STATE UNIVERSITY
NPI 1891747614
Radiology - Diagnostic Radiology in East Lansing, MI
About Michigan State University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHIGAN STATE UNIVERSITY (NPI 1891747614) is a healthcare organization registered as a diagnostic radiology in East Lansing, Michigan and active in the NPI registry since May 2006. The organization lists Lisa Rucker, Enrollment & Patient Accts Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Identifiers 1
Group Practice 1
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.
Clinicians Billing Medicare Through This Organization
71Medicare enrollment records show 71 clinicians reassign Medicare billing to Michigan State University, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 56 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 71Source: 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 1891747614. It was assigned to this organization in the NPPES registry on May 17, 2006.
Where is Michigan State University located?
Michigan State University is located at 804 Service Rd # D100, East Lansing, MI 48824. The listed phone number is (517) 353-5053.
What is Michigan State University's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
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), 71 clinicians in 18 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 Neurology (13), Nurse Practitioner (13) and Pediatric Medicine (11). Of these, 8 practice at this address and 56 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 Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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.
# Michigan State University · NPI 1891747614
Diagnostic Radiology organization in East Lansing, Michigan. Organization record, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1891747614 (Entity type: Organization)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Lisa Rucker, ENROLLMENT & PATIENT ACCTS MANAGER
## Practice location
- **Address:** 804 SERVICE RD # D100, East Lansing, MI 48824-7015
- **Phone:** (517) 353-5053 · **Fax:** (517) 432-4394
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 71 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (13), Nurse Practitioner (13), Pediatric Medicine (11); 8 practice at this address and 56 within 10 miles; [full list](https://npiprofile.com/npi/1891747614/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2018
- **Other identifiers:** Medicaid 1891747614 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1891747614) · Data from the CMS NPPES public registry.