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 1912445677
Psychiatry & Neurology - Psychiatry in Jackson, MI

Active since February 02, 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, Aug 6, 2019, Mar 2, 2017 and 1 more (4 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 1912445677), doing business as Henry Ford Allegiance Health, is a healthcare organization registered as a psychiatry in Jackson, Michigan and active in the NPI registry since February 2017. The organization lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1912445677
Entity TypeOrganization
Primary Taxonomy2084P0800X
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 DateFebruary 2, 2017
Last NPPES UpdateOctober 22, 20264 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1912445677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 1060000044
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
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

Medicaid1326078866MI

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

119

Medicare enrollment records show 119 clinicians reassign Medicare billing to W.A. Foote Memorial Hospital, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Certified Registered Nurse Anesthetist (CRNA)78
Psychiatry27
Clinical Psychologist13
Nurse Practitioner1

Nearest to this location (20)

See all 119
Psychiatry
NPI 1689056632
205 N EAST AVE
Jackson, MI 49201
(517) 205-4730
✔ PECOSSame address
Psychiatry
NPI 1790105005
205 N EAST AVE
Jackson, MI 49201
(517) 205-4730
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427720903
205 N EAST AVE
Jackson, MI 49201
(517) 205-7836
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932783636
205 N EAST AVE
Jackson, MI 49201
(517) 205-4946
✔ Accepts MedicareSame address
Psychiatry
NPI 1346980687
205 N EAST AVE
Jackson, MI 49201
(517) 205-4730
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144630625
205 N EAST AVE
Jackson, MI 49201
(517) 205-7836
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093591786
205 N EAST AVE
Jackson, MI 49201
(517) 205-7836
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043882038
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1821502725
205 N EAST AVE
Jackson, MI 49201
(517) 205-7836
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548359250
205 N EAST AVE
Jackson, MI 49201
(517) 205-7364
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1467425306
205 N EAST AVE
Jackson, MI 49201
(517) 205-7838
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114457991
205 NORTH EAST AVENUE ANESTHESIA DEPARTMENT
Jackson, MI 49201
(517) 788-4963
✔ Accepts Medicare6.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1508950064
205 NORTH EAST AVE ANESTHESIA DEPARTMENT
Jackson, MI 49201
(517) 788-4963
✔ Accepts Medicare6.4 mi
Clinical Psychologist
NPI 1689744302
1201 E MICHIGAN AVE STE 200
Jackson, MI 49201
(517) 204-4841
✔ PECOS✔ Accepts Medicare9.8 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093033474
205 N EAST AVE
Jackson, MI 49201
(517) 788-4800
✔ Accepts Medicare9.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003446006
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
9.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962710848
205 N EAST AVE
Jackson, MI 49201
(517) 205-4963
✔ Accepts Medicare9.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811301864
205 N EAST AVE
Jackson, MI 49201
(517) 788-4963
✔ Accepts Medicare9.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033422795
205 N EAST AVE
Jackson, MI 49201
(517) 788-4963
✔ Accepts Medicare9.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912595810
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ Accepts Medicare9.9 mi
See all 119 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 1912445677. It was assigned to this organization in the NPPES registry on February 2, 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 Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

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), 119 clinicians in 4 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 Certified Registered Nurse Anesthetist (CRNA) (78), Psychiatry (27) and Clinical Psychologist (13). Of these, 11 practice at this address and 20 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 12 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.