Henry Ford Health St. John Hospital
NPI 1700831500ActiveOrganization· Nurse Practitioner· Detroit, MI
Nurse Practitioner in Detroit, Michigan, registered in NPPES in May 2006. The authorized official on file is Kimberly Cebalt, Manager Provider Affairs. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700831500 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2006 |
| Last updated in NPPES | Jul 16, 2026 |
| Certified by provider | Jul 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — | MI |
| Nurse Practitioner, Adult Health | 363LA2200X | — | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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