Cristo Rey Community Center
A Medicare group practice based in Lansing, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2365345576), with 18 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2365345576
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 1
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040830000021 | MI | Part B Supplier - Clinic/Group Practice | 1407800931 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Catholic Charities of Ingham, Eaton & Clinton Counties
- General Practice Physician
- Lansing, MI
- NPI 1407800931
-
Cristo Rey Community Center
- Addiction (Substance Use Disorder) Counselor
- Lansing, MI
- NPI 1700901964
Practice locations
- Lansing, MI1
Clinicians 18
Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (5).
-
Beth Betten, FNP
- Family Nurse Practitioner
- Benzonia, MI
- NPI 1215541313
-
Donato J Borrillo, M.D.
- Aerospace Medicine Physician
- Mount Pleasant, SC
- NPI 1104822170
-
Samar Marie Boulos, D.O.
- Pediatrics Physician
- Lansing, MI
- NPI 1689067829
-
Aimee Brookens, D.O
- Pediatrics Physician
- Lansing, MI
- NPI 1760746788
-
Carol Ann Carney, CNP
- Family Nurse Practitioner
- Jackson, MI
- NPI 1043230154
-
Peter H Cooke, M.D.
- General Practice Physician
- Lansing, MI
- NPI 1578767406
-
Maha Gebril
- Family Nurse Practitioner
- Holt, MI
- NPI 1750093308
-
Edward Gogek, MD
- Psychiatry Physician
- Prescott, AZ
- NPI 1124136627
-
Jay Randall Gottschalk, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Lansing, MI
- NPI 1437660248
-
Margaret M Keeler, NP
- Family Nurse Practitioner
- Lansing, MI
- NPI 1568553741
-
Christina Marie Koonce, M.D.
- Family Medicine Physician
- Lansing, MI
- NPI 1952470361
-
Cynthia Lockerd, DO
- Family Medicine Physician
- Lansing, MI
- NPI 1750378758
-
Rochelle R Rein, NP
- Nurse Practitioner
- Lansing, MI
- NPI 1578903266
-
Stephanie Lynn Schultz, NP
- Family Nurse Practitioner
- Lansing, MI
- NPI 1073236253
-
Shelley Sellinger, M.D.
- Psychiatry Physician
- New York, NY
- NPI 1740371715
-
Janet L Sprague, DO
- Family Medicine Physician
- Sunfield, MI
- NPI 1962516047
-
Luis G Valle, M.D.
- Family Medicine Physician
- Lansing, MI
- NPI 1790949667
-
Marcy Jane West
- Clinical Social Worker
- Westland, MI
- NPI 1649245028
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.