NPIMap

Organization Active NPI

Edward W. Sparrow Hospital Association

Doing business as University of Michigan Health-Sparrow

  • Rehabilitation Hospital Unit
  • Lansing, MI
National Provider Identifier
1477512424
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
330060 Issued in MI
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Doing business as
University of Michigan Health-Sparrow
Practice address
1215 E. Michigan Avenue
Lansing, MI 48909-7980
Phone
(517) 364-6000
Fax
(517) 364-6009
NPI assigned
Mar 20, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Misty Russian
Title
Supervisor, Provider Enrollment
Phone
(517) 253-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 330060 MI Primary

Addresses

Primary practice location

1215 E. Michigan Avenue
Lansing, MI 48909-7980

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 364-7999

Other identifiers 3

IdentifierTypeStateIssuer
200000000005OtherMIPHP
00025OtherMIBLUE CROSS
2775312MedicaidMI

Other names 1

  • University of Michigan Health-Sparrow Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070222000183 MI Part A Provider - Hospital 6709799166 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lansing, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477512424. Details of each certification follow.

Hospital certification: CCN 23T230

Legal name
EDWARD W SPARROW HOSPITAL ASSOCIATION
Doing business as
UNIVERSITY OF MICHIGAN HEALTH-SPARROW
Organization structure
CorporationNon-profit
Enrollment address
1215 E Michigan Ave
Lansing, MI 48912-1811
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Mary Free Bed at SparrowCCN 23T230 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 1985

National Provider Directory

National Provider Directory
Tax ID family
Sparrow Hospital Lab49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Matthew D Wilcox Individual Corporate OfficerBoard Member Jul 1, 2025
Eric J Strucko Individual Corporate OfficerBoard Member / Treasurer Jul 1, 2025
Laura M Gibson Individual Corporate OfficerBoard Member Jul 1, 2025
Um Health Organization, Ann Arbor, MI Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2024 100%
Regents of the University of Michigan Organization, Ann Arbor, MI Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2024 100%
Candace S Metcalf Individual Corporate OfficerBoard Member Jul 1, 2025
Harper T Wildern Individual Corporate OfficerBoard Member / Board Chair Jul 1, 2025
Margaret a Dimond Individual Corporate DirectorCeo/President Umh Regional Network Apr 1, 2024
W-2 Managing EmployeeCeo/President Umh Regional Network Apr 1, 2024
Misty Gunter Russian Individual W-2 Managing EmployeeRegional MGR, Provider Enrollment Jan 1, 2024
Daniel Balice Individual Corporate OfficerBoard Member Jul 1, 2025
Carol Priebe Wiles Individual Corporate OfficerBoard Member Jul 1, 2025
Sparrow Health System Organization, Lansing, MI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 1990 100%
John Milewski Individual Corporate OfficerBoard Member Jul 1, 2025
Gregory a Holzhei Individual Corporate OfficerBoard Member/ Secretary Jul 1, 2025
John Hendrickson Individual Corporate OfficerBoard Member/ Vice Chair Jul 1, 2025
Bruce a Courtade Individual Corporate OfficerBoard Member Jul 1, 2025
Anthony Mazzali Individual Corporate OfficerBoard Member Jul 1, 2025
Timothy L Williams Individual Corporate OfficerBoard Member Jul 1, 2025
Lakeeya K Tucker Individual Corporate OfficerBoard Member Jul 1, 2025

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1477512424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860081",
            "telephone_number": "517-364-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E. MICHIGAN AVENUE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489097980",
            "telephone_number": "517-364-6000",
            "fax_number": "517-364-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD W. SPARROW HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "RUSSIAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "SUPERVISOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "517-253-6308"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MI",
            "license": "330060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000000005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00025",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2775312",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Michigan Health-Sparrow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.