NPIMap

Organization Active NPI

Saginaw Chippewa Indian Tribe

Doing business as Nimkee Memorial Wellness Center

  • Community Health Worker
  • Mt Pleasant, MI
National Provider Identifier
1649368457
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
SAGINAW CHIPPEWA INDIAN TRIBE
Doing business as
Nimkee Memorial Wellness Center
Practice address
2591 South Leaton Rd
Mt Pleasant, MI 48858
Phone
(989) 775-4600
Fax
(989) 775-4946
NPI assigned
Oct 10, 2006
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Luke Sprague
Title
Tribal Chief
Phone
(989) 775-4200

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Registered Nurse 163W00000X NU
Community Health Registered Nurse 163WC1500X NU
Maternal Newborn Registered Nurse 163WM0102X NU
Family Medicine Physician 207Q00000X NU
Community Health Worker 172V00000X NU Primary
Health Educator 174H00000X NU

Addresses

Primary practice location

2591 South Leaton Rd
Mt Pleasant, MI 48858

Mailing address

2591 S Leaton Rd
Mt Pleasant, MI 48858-8421
Phone (989) 775-4600

Other identifiers 3

IdentifierTypeStateIssuer
500C776040OtherBCBS GROUP
010C760120OtherBCBS GROUP
G05822OtherBCN GROUP

Other names 1

  • Nimkee Memorial Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040728000012 MI Part B Supplier - Clinic/Group Practice 8820068893 Receives reassigned benefits from 8 practitioners
Practice locations: Mount Pleasant, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1649368457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 S LEATON RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488588421",
            "telephone_number": "989-775-4600",
            "fax_number": "989-775-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 SOUTH LEATON RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-775-4600",
            "fax_number": "989-775-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW CHIPPEWA INDIAN TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "TRIBAL CHIEF",
        "authorized_official_telephone_number": "989-775-4200"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "500C776040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "010C760120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "G05822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nimkee Memorial Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nimkee Memorial Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.