Hackley Community Care Center Inc
A Medicare group practice based in Muskegon, MI: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 8123015492), with 49 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8123015492
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 9
- Group size
- 18 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 14
Enrollment records 9
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040511001126 | MI | Part B Supplier - Clinic/Group Practice | 1629066238 |
| O20101105000714 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1629066238 |
| O20110608000847 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1508245408 |
| O20220930002677 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1427787621 |
| O20210615003269 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1609451905 |
| O20220315000754 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1215504865 |
| O20150617001352 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1699154500 |
| O20120328000679 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1356720262 |
| O20130806000409 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1427437326 |
NPIs in this group 9
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Hackley Community Care Center Inc
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1356720262
-
Hackley Community Care Center Inc
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1427437326
-
Hackley Community Care Center Inc
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1508245408
-
Hackley Community Care Center Inc
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1629066238
-
Hackley Community Care Center Inc
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1699154500
-
Hackley Community Care Center, Inc
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1215504865
-
Hackley Community Care Center, Inc
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1427787621
-
Hackley Community Care Center, Inc
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1609451905
-
Hackley Community Care Center Inc
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1912506635
Practice locations
- Muskegon, MI13
- Muskegon Heights, MI1
Clinicians 49
Clinicians who reassign their Medicare benefits to this group (48) or whom Care Compare lists as members (18).
-
Nicole Renee Abbgy, NP
- Adult Health Nurse Practitioner
- Grand Rapids, MI
- NPI 1144774019
-
Keith Abraham, NP
- Adult Health Nurse Practitioner
- Muskegon, MI
- NPI 1669098810
-
Melissa Ann Brown, D.O.
- Family Medicine Physician
- Muskegon, MI
- NPI 1063605822
-
Ryan Thomas Busch, PA-C
- Physician Assistant
- Muskegon, MI
- NPI 1619414984
-
Samara A Champion, MSN, APRN, NP-C
- Family Nurse Practitioner
- Muskegon, MI
- NPI 1104407691
-
Gabriel Angelo Devivo, DO
- Family Medicine Physician
- Muskegon, MI
- NPI 1457989428
-
Jamie Lynn Dickinson, PA
- Physician Assistant
- Grand Haven, MI
- NPI 1457567158
-
Amy L Dzikowicz, NP
- Nurse Practitioner
- Grand Rapids, MI
- NPI 1316385768
-
Julie Rose Escareno, LMSW
- Social Worker
- Muskegon, MI
- NPI 1659502110
-
Susan Carol Fabrick, M.D.
- Family Medicine Physician
- Muskegon, MI
- NPI 1891704599
-
Natasha Nicole Fair, PA-C
- Physician Assistant
- Muskegon Heights, MI
- NPI 1326202953
-
Kelsie Anne Firn, PA
- Physician Assistant
- Kentwood, MI
- NPI 1316339450
-
Hannah Beth Geels, PA-C
- Medical Physician Assistant
- Muskegon, MI
- NPI 1194381723
-
Darl Andrew Goodspeed, PA-C
- Physician Assistant
- Muskegon, MI
- NPI 1528934676
-
Kathryn Hendricks, PA-C
- Physician Assistant
- Muskegon, MI
- NPI 1750772455
-
Jennifer Anne Hultman, MD
- Pediatrics Physician
- Grand Rapids, MI
- NPI 1750597027
-
Elise Marie Jones, PA-C
- Physician Assistant
- Holland, MI
- NPI 1265978134
-
Joshua John Joshua, DDS
- General Practice Dentistry
- Muskegon Heights, MI
- NPI 1467464800
-
Leslie N Kingsley, D.O.
- Family Medicine Physician
- Muskegon, MI
- NPI 1043579014
-
Maryanne Louise Kowalski, LMSW
- Clinical Social Worker
- Muskegon, MI
- NPI 1487736005
-
Tyson Jay Lahti, DO
- Internal Medicine Physician
- Muskegon, MI
- NPI 1477814846
-
Jenna Marie Lehman, NP
- Family Nurse Practitioner
- Muskegon, MI
- NPI 1366085474
-
Theresa Ellen Marshall, LMSW
- Clinical Social Worker
- Muskegon, MI
- NPI 1629117734
-
Bradley A Martino, DO
- Family Medicine Physician
- Grand Haven, MI
- NPI 1194216218
-
Aaron William Melucci, PA-C
- Physician Assistant
- Ada, MI
- NPI 1093171720
-
Marissa Merry, PHYSICIAN ASSISTANT
- Physician Assistant
- Edmore, MI
- NPI 1992487532
-
Tatiana Maria Michura, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Muskegon, MI
- NPI 1649755984
-
Nidia O Miedema, MD
- Family Medicine Physician
- Muskegon, MI
- NPI 1841306065
-
Benjamin James Newberry, PA C
- Physician Assistant
- Muskegon, MI
- NPI 1376944777
-
Steven Oginsky, PA
- Physician Assistant
- Muskegon, MI
- NPI 1932447687
-
Genevieve Frances Pomerville, NP
- Primary Care Nurse Practitioner
- Detroit, MI
- NPI 1619237021
-
Jennifer Lynn Potter, LMSW
- Clinical Social Worker
- Muskegon, MI
- NPI 1063904811
-
Lady Yohanna Rau, FNP
- Family Medicine Physician
- Muskegon, MI
- NPI 1841840303
-
Elizabeth K Rykse, CNM
- Registered Nurse
- Muskegon, MI
- NPI 1649612433
-
Frank Remington Sprague, MD
- Internal Medicine Physician
- Muskegon, MI
- NPI 1134120108
-
Stacey Steeno, CNM
- Advanced Practice Midwife
- Muskegon, MI
- NPI 1356724702
-
Sara Strait
- Family Nurse Practitioner
- Norton Shores, MI
- NPI 1538511621
-
Marco John Tatangelo, M.D.
- Pediatrics Physician
- Muskegon, MI
- NPI 1477992147
-
Karen A Thornburg, MD
- Internal Medicine Physician
- Muskegon, MI
- NPI 1003938119
-
Matthew Allen Tripp, PA
- Medical Physician Assistant
- Whitehall, MI
- NPI 1821037268
-
James J Tuljus, PA C
- Physician Assistant
- New London, WI
- NPI 1558834788
-
Mary E Tyler, LMSW
- Clinical Social Worker
- Muskegon Heights, MI
- NPI 1780805051
-
Tawna W Vallance, PA C
- Medical Physician Assistant
- Muskegon, MI
- NPI 1558385849
-
Lauren Wunderlich Vanhouten, PA-C
- Physician Assistant
- Allendale, MI
- NPI 1023431772
-
Byron L Varnado, MD
- Family Medicine Physician
- Muskegon, MI
- NPI 1962405357
-
Ann Marie Wilson, LMSW
- Clinical Social Worker
- Muskegon, MI
- NPI 1477615342
-
Heather L Wolf, LMSW
- Clinical Social Worker
- Muskegon, MI
- NPI 1922788843
-
Margaret-Elizabeth R Wolter, NP
- Family Nurse Practitioner
- Norton Shores, MI
- NPI 1447251442
-
Melissa Marie Wynsma, NP-C
- Family Nurse Practitioner
- Muskegon, MI
- NPI 1679245401
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.