NPIMap

Individual provider Active NPI

Andrew W Messenger, D.O.

  • Family Medicine Physician
  • Saint Johns, MI
National Provider Identifier
1073543666
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
510100741 Issued in MI
Practice address
1005 S US Highway 27
Suite 100
Saint Johns, MI 48879-2423
Phone
(989) 224-3000
Fax
(989) 224-1424
NPI assigned
Jul 3, 2006
Last updated
Aug 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 510100741 MI Primary

Addresses

Primary practice location

1005 S US Highway 27
Suite 100
Saint Johns, MI 48879-2423

Mailing address

1005 S US Highway 27
Suite 100
Saint Johns, MI 48879-2423
Phone (989) 224-3000

Other identifiers 1

IdentifierTypeStateIssuer
3026539MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000343 MI Practitioner - Family PracticePractitioner - General Practice 9032004627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Michigan State University College of Osteopathic Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinton County Medical Center PCGroup PAC ID 8224923818, 27 clinicians
Outpatient Urgent Care HealthcenterGroup PAC ID 8729395132, 11 clinicians

Practice addresses (Care Compare)

1005 S US Hwy 27
Suite 100
Saint Johns, MI 48879-2423
Phone (989) 224-3000

1505 Waterford Pkwy
Clinton County Medical Center Psych
Saint Johns, MI 48879-9630
Phone (989) 292-3572

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
510100741MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center Psychological Services PLLC Family Medicine CurrentSince May 10, 2023 Accepting new patients
Clinton County Medical Center Psychological Services PLLC CurrentSince May 10, 2023 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine Past Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. Past Accepting new patients

Locations

724 E Superior St
Alma, MI 48801
Phone (989) 292-6194

3600 N Saginaw Rd
Midland, MI 48640
Phone (989) 423-0513

1005 S US Highway 27
Ste 100
Saint Johns, MI 48879
Phone (989) 292-3572

1055 S US Highway 27
Saint Johns, MI 48879
Phone (517) 224-3000

1505 Waterford Pkwy
Saint Johns, MI 48879
Phone (989) 227-0710

Interoperability endpoints

  • Direct secure messaging: andrewmessenger@ccmedc.allscriptsdirect.net
  • Direct secure messaging: andrewmessenger@compass.allscriptsdirect.net
  • Direct secure messaging: andrewmessenger@ouchuc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clinton County Medical Center - Ferguson CampusCarson City, MI, CCN 238943 Rural health clinic 5% Or Greater Direct Ownership Interest (65.1%)
Corporate Officer (65.1%)
Operational/Managerial Control (65.1%)		 May 1, 1982
May 1, 1982
May 1, 1982

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1073543666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S US HIGHWAY 27",
            "address_2": "SUITE 100",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792423",
            "telephone_number": "989-224-3000",
            "fax_number": "989-224-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S US HIGHWAY 27",
            "address_2": "SUITE 100",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792423",
            "telephone_number": "989-224-3000",
            "fax_number": "989-224-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSENGER",
        "first_name": "ANDREW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "510100741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3026539",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.