Indian River Medical Center – Federally Qualified Health Center (FQHC), NPI 1831567643

Indian River Medical Center is a healthcare provider. based in Indian river, Michigan. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Indian River Medical Center is 1831567643

Main info

Organization
Name
Indian River Medical Center
NPI
1831567643
Phone
(231) 238-8908
Address
6135 CRESSY ST
Authorized Official
NANCY SPENCER CEO
Enumeration Date
10 September 2015
Last Update Date
12 January 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness90
Years active:10State licenses:0Digital endpoints

Provider Addresses for Indian River Medical Center

  • 6135 CRESSY ST

    INDIAN RIVER, MI 497495151

    Phone: (231) 238-8908

    Mailing address matches the actual address.

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: 2015-11-06

PECOS data refreshed: 2026-05-27

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
O20151106000446OFederally Qualified Health Center (Fqhc)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 49749)

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Reviews

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Frequently asked questions

Does Indian River Medical Center have a public NPI I can cite?
Public records show Indian River Medical Center under NPI 1831567643.
Quick check: is Indian River Medical Center active?
Public NPPES data shows Indian River Medical Center with an active NPI status right now.
What does the directory say Indian River Medical Center does?
Insurance directories may phrase it differently, but here Indian River Medical Center maps to Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What city is tied to Indian River Medical Center?
The directory associates Indian River Medical Center with Indian River, Michigan. Check all listed addresses for suites or satellite offices.
Can I export Indian River Medical Center's record?
You can download the official NPPES record; we summarize key fields for readability.

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