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

MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
NPI 1952685588
Clinic/Center - Community Health in Shelbyville, MI

Active since September 30, 2011
2880 MISSION DR, SHELBYVILLE, MI 49344(269) 397-1760(269) 397-1763 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2026, May 15, 2025, Jan 19, 2022 and 1 more (4 updates tracked since 2017).

About Match-e-be-nash-she-wish Band Of Pottawatomi Indians NPPES

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

MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS (NPI 1952685588), doing business as Gun Lake Tribe, is a healthcare organization registered as a community health in Shelbyville, Michigan and active in the NPI registry since September 2011. The organization lists Kelly Wesaw, Health Director, as its authorized official.

NPPES Registry Identity

NPI1952685588
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameMATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
Location Address2880 MISSION DRShelbyville, MI 49344-9580
Mailing Address2880 Mission DrShelbyville, MI 49344-9580 · (269) 397-1760 · Fax (269) 397-1763
Fax(269) 397-1763
Organization SubpartNo
Authorized OfficialKelly WesawHealth Director · (269) 397-1760
Enumeration DateSeptember 30, 2011
Last NPPES UpdateSeptember 24, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1952685588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
2880 MISSION DR, Shelbyville, MI 49344

Other Names 1

Doing Business AsGun Lake Tribe

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)

Match-e-be-nash-she-wish Band Of Pottawatomi Indians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 5

Family Practice4
Clinical Social Worker3
Nurse Practitioner2
Mental Health Counselor1
Podiatry1

Clinicians, nearest first (11)

Clinical Social Worker
NPI 1679029847
2880 MISSION DR
Shelbyville, MI 49344
(269) 397-1760
✔ PECOSSame address
Clinical Social Worker
NPI 1851926307
2880 MISSION DR
Shelbyville, MI 49344
(732) 545-6335
✔ PECOSSame address
Clinical Social Worker
NPI 1427619667
2880 MISSION DR
Shelbyville, MI 49344
(269) 397-1760
✔ PECOSSame address
Family Practice
NPI 1164834818
2880 MISSION DR
Shelbyville, MI 49344
(269) 397-1760
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1801461595
132 W ALLEGAN ST
Otsego, MI 49078
(616) 258-6058
✔ PECOS12 mi
Nurse Practitioner
NPI 1295388098
3545 AIDEN CT
Hudsonville, MI 49426
(616) 780-3850
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1629034244
4285 PARKWAY PLACE DR SW
Grandville, MI 49418
(616) 252-4300
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1558580977
11160 WJ PRESLEY PKWY STE 101
Allendale, MI 49401
(616) 895-2000
✔ PECOS✔ Accepts Medicare28 mi
Podiatry
NPI 1467483727
4200 DIVISION AVE N
Comstock Park, MI 49321
(616) 252-3000
✔ PECOS✔ Accepts Medicare28 mi
Family Practice
NPI 1164458295
751 STATE ROUTE 664 N
Logan, OH 43138
(740) 385-0202
✔ PECOS271 mi
Nurse Practitioner
NPI 1730348327
417 13TH AVE EAST FORT PECK TRIBES HPDP
Poplar, MT 59255
(406) 768-3052
✔ PECOS✔ Accepts Medicare1,019 mi

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 Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians's NPI number?

The NPI number for Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians is 1952685588. It was assigned to this organization in the NPPES registry on September 30, 2011. The provider is doing business as Gun Lake Tribe.

Where is Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians located?

Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians is located at 2880 Mission Dr, Shelbyville, MI 49344. The listed phone number is (269) 397-1760.

What is Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians enrolled in Medicare?

Yes. Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians. 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 Family Practice (4), Clinical Social Worker (3) and Nurse Practitioner (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians 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 Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 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.