OSFMG Escanaba Gladstone Powers – Family Medicine Physician, NPI 1629011622
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OSFMG Escanaba Gladstone Powers
Peoria Post Office, 10700, North 85th Avenue, Peoria, Maricopa County, Arizona, 85345, United States
PEORIA, IL 616561712
Phone:
Type: Mailing
124 SW ADAMS ST
PEORIA, IL 616021320
Phone: (309) 655-2850
Fax: (309) 655-4878
Type: Mailing
OSF Medical Office Building, 3409, Ludington Street, Escanaba, Delta County, Michigan, 49829, United States
ESCANABA, MI 498294212
Phone: (800) 589-6070
Fax: (309) 683-5969
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.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031231000428 | O | Clinic/Group Practice | MI | TBD |
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.
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 61656)
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Reviews
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