Organization Active NPI

Center for Family Health

  • Registered Nurse
  • Jackson, MI
National Provider Identifier
1194922906
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
CENTER FOR FAMILY HEALTH
Practice address
2200 Springport Rd
Jackson, MI 49202-1432
Phone
(517) 784-3950
Fax
(517) 783-2728
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Sheryl McCormick
Title
Patient Account Manager
Phone
(517) 784-3950

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

2200 Springport Rd
Jackson, MI 49202-1432

Mailing address

PO Box 548
Jackson, MI 49204-0548
Phone (517) 784-3950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030708000028 MI Part A Provider - Federally Qualified Health Center (FQHC) 4587574421 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jackson, MI

Federally qualified health center certification: CCN 231865

Legal name
CENTER FOR FAMILY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 1, 1997
Last certification
Dec 1, 1997
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1995 in MI
Enrollment address
505 N Jackson St
Jackson, MI 49201-1266

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William M Wypyski Individual Corporate DirectorCeo Nov 17, 2023
W-2 Managing EmployeeAd;Ceo Nov 17, 2023 100%
Randall Wesley Treacher Individual Corporate OfficerBoard Member Jun 1, 2016
Monica Pierce Individual Corporate OfficerBoard Member Jan 1, 2022
Alisa Marie Anders Individual Corporate OfficerBoard Member Jan 1, 2024
Corporate DirectorBoard Member Jan 1, 2024
Zoe Lynn Lyons Individual Corporate OfficerBoard Member Feb 1, 2019
Jacob Inosencio Individual Corporate OfficerBoard Member Jan 1, 2024
Corporate DirectorBoard Member Jan 1, 2024
Jessica Marie Embury Individual Corporate OfficerBoard Member Nov 1, 2018
Shawna Marie Tello Individual Corporate OfficerBoard Member Jan 1, 2024
Corporate DirectorBoard Member Jan 1, 2024
Lori Heiler Individual Corporate OfficerBoard Member Apr 1, 2007
Chelsea Poole Individual Corporate OfficerBoard Member Jan 1, 2022
Ralph Dale Moretz Individual Corporate Officer Sep 1, 2001
Sheila Troxel Individual Corporate OfficerBoard Member Jan 1, 2024
Corporate DirectorBoard Member Jan 1, 2024
Jennifer White Individual Corporate Officer Apr 1, 2013
Tiphanie Salas Individual Corporate Director Jan 13, 2025
W-2 Managing EmployeeOffice Manager Jan 13, 2025

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194922906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492040548",
            "telephone_number": "517-784-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SPRINGPORT RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021432",
            "telephone_number": "517-784-3950",
            "fax_number": "517-783-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "517-784-3950"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.