SALLY C BABCOCK – Certified Registered Nurse Anesthetist, NPI 1144682071

SALLY C BABCOCK is a healthcare provider. based in Montague, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 4704270802 (MI). The NPI Number for SALLY C BABCOCK is 1144682071

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
SALLY C BABCOCK
NPI
1144682071
Phone
Not provided
Address
5460 DOWLING ST
Enumeration Date
21 March 2016
Last Update Date
28 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7342632400
Graduation Year
2015 (11 years ago)
PAC ID
2769781905
Group Practice PAC ID
4981500436
Professional Enrollment ID
I20170118000904
Address ID
MI495034502GR200XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

2,696 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for SALLY C BABCOCK

  • 5460 DOWLING ST

    MONTAGUE, MI 494379333

    Phone:

    Type: Mailing

  • 550 W WESTERN AVE

    SUITE B

    MUSKEGON, MI 494401045

    Phone: (231) 726-4498

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170118000904ICertified Registered Nurse Anesthetist (Crna)MITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49437)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981500436View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
-MI
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Geriatric Medicine, Internal MedicineMI

Reviews

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Frequently asked questions

What federal number belongs to SALLY C BABCOCK?
The federal identifier for SALLY C BABCOCK is NPI 1144682071.
Is SALLY C BABCOCK's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SALLY C BABCOCK list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for SALLY C BABCOCK. Clinical services aligned with this taxonomy classification.
What location metadata exists for SALLY C BABCOCK?
The page summarizes Montague, Michigan for SALLY C BABCOCK; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.