BAY MILLS HEALTH CENTER
NPI 1952388175
Clinic/Center - Federally Qualified Health Center (FQHC) in Brimley, MI

Active since December 29, 2005CLIA Certified · 2 labs
12455 W LAKESHORE DR, BRIMLEY, MI 49715(906) 248-5527(906) 248-5765 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bay Mills Health Center NPPES

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

BAY MILLS HEALTH CENTER (NPI 1952388175) is a healthcare organization registered as a federally qualified health center (fqhc) in Brimley, Michigan and active in the NPI registry since December 2005. The organization holds 2 active CLIA laboratory certificates and lists Audrey Breakie, Hhs Director, as its authorized official.

NPPES Registry Identity

NPI1952388175
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBAY MILLS INDIAN COMMUNITY
Location Address12455 W LAKESHORE DRBrimley, MI 49715-9327
Mailing Address12455 W Lakeshore DrBrimley, MI 49715-9327 · (906) 248-5527 · Fax (906) 248-5765
Fax(906) 248-5765
Organization SubpartNo
Authorized OfficialAudrey BreakieHhs Director · (906) 248-8327
Enumeration DateDecember 29, 2005
Last NPPES UpdateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
✔ NPI 1952388175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedOptometristTaxonomy 152W00000X
12455 W LAKESHORE DR, Brimley, MI 49715

Other Names 2

Doing Business AsBay Mills Health Center
Doing Business AsBay Mills Health Center Optometry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Bay Mills Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Bay Mills Health Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner6
Clinical Social Worker5
Optometry4
Family Practice2
Clinical Psychologist1
Mental Health Counselor1
Psychiatry1

Clinicians, nearest first (20)

Nurse Practitioner
NPI 1245516152
12455 W LAKESHORE DR
Brimley, MI 49715
(906) 248-5527
✔ PECOSSame address
Clinical Social Worker
NPI 1821297318
12124 W LAKESHORE DR
Brimley, MI 49715
(906) 248-5527
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053923763
12455 W LAKESHORE DR.,
Brimley, MI 49715
(906) 248-5527
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1760421499
12455 W. LAKESHORE DR
Brimley, MI 49715
(906) 248-5527
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730738089
12124 W LAKESHORE DR
Brimley, MI 49715
(906) 248-5527
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1528950441
12455 W LAKESHORE DR
Brimley, MI 49715
(906) 248-5527
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1912699141
3360 INTERSTATE 75 BUSINESS SPUR
Sault Ste. Marie, MI 49783
(906) 635-0861
✔ PECOS✔ Accepts Medicare13 mi
Clinical Social Worker
NPI 1952735979
3865 S MACKINAC TRL
Sault Sainte Marie, MI 49783
(906) 632-2805
✔ PECOS✔ Accepts Medicare13 mi
Clinical Social Worker
NPI 1972923514
3865 S MACKINAC TRL
Sault Sainte Marie, MI 49783
(906) 635-3788
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1063233609
1408 ASHMUN ST
Sault Sainte Marie, MI 49783
(248) 953-0359
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1891797098
560 OSBORN BLVD
Sault Sainte Marie, MI 49783
(906) 632-1800
✔ PECOS✔ Accepts Medicare14 mi
Psychiatry
NPI 1801220769
500 OSBORN BLVD
Sault Sainte Marie, MI 49783
(906) 635-4460
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1285910984
510 ASHMUN ST STE 5
Sault Sainte Marie, MI 49783
(906) 632-6013
✔ PECOS14 mi
Clinical Psychologist
NPI 1922109636
605 E 7TH AVE SUITE #9
Sault Sainte Marie, MI 49783
(906) 635-7270
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1861500142
16523 S WATER TOWER DR
Kincheloe, MI 49788
(906) 632-5900
✔ PECOS✔ Accepts Medicare17 mi
Optometry
NPI 1275611246
350 W NORTH ST
Gaylord, MI 49735
(989) 732-6455
✔ PECOS✔ Accepts Medicare102 mi
Optometry
NPI 1467666248
29500 7 MILE RD
Livonia, MI 48152
(248) 477-2662
✔ PECOS✔ Accepts Medicare287 mi
Clinical Social Worker
NPI 1396480224
3200 GREENFIELD RD STE 300
Dearborn, MI 48120
(646) 453-6777
✔ PECOS✔ Accepts Medicare297 mi
Clinical Social Worker
NPI 1386207967
555 TOWNER ST
Ypsilanti, MI 48198
(734) 891-5546
✔ PECOS✔ Accepts Medicare297 mi
Optometry
NPI 1639606700
285 E PARKS HWY
Wasilla, AK 99654
(907) 376-3917
✔ PECOS✔ Accepts Medicare2,701 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2150736

Bay Mills Health Center · Brimley, MI
Active · expires Jul 1, 2028
CLIA Number23D2150736
Laboratory TypeTribal FQHC
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorDaniel C. Maloney
Laboratory Phone(906) 248-5527
Laboratory LocationBay Mills Health Center12455 W Lakeshore Drive, Brimley, MI 49715
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2338757

Bay Mills Health Center Medical / Nursing · Brimley, MI
Active · expires Feb 17, 2028
CLIA Number23D2338757
Laboratory TypeTribal FQHC
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorDaniel C. Maloney
Laboratory Phone(906) 248-5527
Laboratory LocationBay Mills Health Center Medical / Nursing12455 W Lakeshore Drive, Brimley, MI 49715
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bay Mills Indian Community's NPI number?

The NPI number for Bay Mills Indian Community is 1952388175. It was assigned to this organization in the NPPES registry on December 29, 2005. The provider is doing business as Bay Mills Health Center and Bay Mills Health Center Optometry.

Where is Bay Mills Indian Community located?

Bay Mills Indian Community is located at 12455 W Lakeshore Dr, Brimley, MI 49715. The listed phone number is (906) 248-5527.

What is Bay Mills Indian Community's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Bay Mills Indian Community enrolled in Medicare?

Yes. Bay Mills Indian Community is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bay Mills Indian Community?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 7 Medicare specialties reassign their Medicare billing to Bay Mills Indian Community. 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 (6), Clinical Social Worker (5) and Optometry (4). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bay Mills Indian Community hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bay Mills Indian Community accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Bay Mills Indian Community 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 Bay Mills Indian Community was last updated on November 29, 2022. 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.