CH Mssp Services Mi PLLC - Medicare Primary Care in Detroit, MI

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CH Mssp Services Mi PLLC is a medicare enrolled primary clinic (Internal Medicine) in Detroit, Michigan. The current practice location for CH Mssp Services Mi PLLC is 400 Renaissance Ctr Ste 2600, Detroit, Michigan. For appointments, you can reach them via phone at (337) 408-0797. The mailing address for CH Mssp Services Mi PLLC is 5750 Johnston St Ste 205, Lafayette, Louisiana and phone number is (337) 408-0797.

CH Mssp Services Mi PLLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1609569169. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (337) 408-0797.

Contact Information

CH Mssp Services Mi PLLC
400 Renaissance Ctr Ste 2600
Detroit
MI 48243-1599
(337) 408-0797
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCH Mssp Services Mi PLLC
SpecialityInternal Medicine
Location400 Renaissance Ctr Ste 2600, Detroit, Michigan
Authorized Official Name and PositionNicole Howard (SR VP OF ADMINISTRATIVE SERVICES)
Authorized Official Contact3374080797
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
CH Mssp Services Mi PLLC
5750 Johnston St Ste 205
Lafayette
LA 70503-5345

Ph: (337) 408-0797		CH Mssp Services Mi PLLC
400 Renaissance Ctr Ste 2600
Detroit
MI 48243-1599

Ph: (337) 408-0797

NPI Details:

NPI Number1609569169
Provider Enumeration Date05/31/2023
Last Update Date03/21/2025
Certification Date03/21/2025

Medicare PECOS Information:

Medicare PECOS PAC ID2961862800
Medicare Enrollment IDO20230724002653

Medical Identifiers

Medical identifiers for CH Mssp Services Mi PLLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609569169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. CH Mssp Services Mi PLLC acts as a billing entity for following providers:
Provider NameAndrew B Dahlgren
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1740235266
PECOS PAC ID: 0941192918
Enrollment ID: I20040325000984
Provider NameKristin Lance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225083637
PECOS PAC ID: 7315993623
Enrollment ID: I20050329001099
Provider NameLynda L Hulst
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811942519
PECOS PAC ID: 6305875881
Enrollment ID: I20050804000896
Provider NameGary S Salem
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205839909
PECOS PAC ID: 1254243785
Enrollment ID: I20051108000095
Provider NameSanjukta Sridharan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083823728
PECOS PAC ID: 0042354243
Enrollment ID: I20100225000121
Provider NameMaria Belen R San Juan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437128253
PECOS PAC ID: 9537204755
Enrollment ID: I20100226000458
Provider NameLinda E Kline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730465584
PECOS PAC ID: 8527232388
Enrollment ID: I20111114000672
Provider NameLauren E Taboh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093083743
PECOS PAC ID: 5799948733
Enrollment ID: I20120531000427
Provider NameJulie M Walwyn Tross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427497957
PECOS PAC ID: 7719111715
Enrollment ID: I20131007000382
Provider NameMaath Alani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518250133
PECOS PAC ID: 6800011677
Enrollment ID: I20140710002452
Provider NameFurha Shuttari
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467857649
PECOS PAC ID: 7416275094
Enrollment ID: I20150410000594
Provider NameCarole Lenzo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881061497
PECOS PAC ID: 2961711403
Enrollment ID: I20151022002168
Provider NameAndrea Wagner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972036960
PECOS PAC ID: 2567739444
Enrollment ID: I20170524001816
Provider NameMarielle Elliot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508369752
PECOS PAC ID: 4284988908
Enrollment ID: I20181116000346
Provider NameChristopher Elliot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194207548
PECOS PAC ID: 3274877691
Enrollment ID: I20181211002950
Provider NameLaura Leske
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427549583
PECOS PAC ID: 2567704323
Enrollment ID: I20190425002762
Provider NameMelissa Marie Rife
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184256380
PECOS PAC ID: 1355762287
Enrollment ID: I20200602001511
Provider NameLogan Walker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114300928
PECOS PAC ID: 1850607268
Enrollment ID: I20201214001856
Provider NameNathen Joel Kokmeyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760086383
PECOS PAC ID: 8325451487
Enrollment ID: I20210108001833
Provider NameLindy Lee Hilding
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922644582
PECOS PAC ID: 7810303757
Enrollment ID: I20210301002439
Provider NameSarfaraz Abdeali Jasdanwala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851646665
PECOS PAC ID: 8426364258
Enrollment ID: I20210326002179
Provider NameSankalp Bhatnagar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679014864
PECOS PAC ID: 9133493695
Enrollment ID: I20210331001074
Provider NameTheresa Tan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851903272
PECOS PAC ID: 8820406697
Enrollment ID: I20210415000833
Provider NameJacob Craze
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558959403
PECOS PAC ID: 7911315171
Enrollment ID: I20210428001000
Provider NameDominique Pinilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124103965
PECOS PAC ID: 4880604446
Enrollment ID: I20210923001053
Provider NameJoysie Jose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295497436
PECOS PAC ID: 8325437692
Enrollment ID: I20211109000453
Provider NameSanjula Suresh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386015451
PECOS PAC ID: 6507255452
Enrollment ID: I20211115000996
Provider NameGwendolyn Fields
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992390157
PECOS PAC ID: 6406248673
Enrollment ID: I20220120000672
Provider NameShannetta L Houze-dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891449930
PECOS PAC ID: 1355735093
Enrollment ID: I20220223002038
Provider NameRenee Kinaia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073028130
PECOS PAC ID: 3274927694
Enrollment ID: I20220301002431
Provider NameGaren Wolff
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1154855443
PECOS PAC ID: 6507136835
Enrollment ID: I20220302001673
Provider NameJie Li
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396340915
PECOS PAC ID: 4486069523
Enrollment ID: I20230110002912
Provider NameKara Orr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942926811
PECOS PAC ID: 1355712662
Enrollment ID: I20230125001829
Provider NameColleen Kinaia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972203024
PECOS PAC ID: 4688030190
Enrollment ID: I20230525000152
Provider NameNaser Alijabbari
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1447941901
PECOS PAC ID: 4789046772
Enrollment ID: I20230808000952
Provider NameErica Guastella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619651197
PECOS PAC ID: 3870955792
Enrollment ID: I20230809002635
Provider NameNina Bryhn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811676430
PECOS PAC ID: 4688568728
Enrollment ID: I20231011002418
Provider NameAshley R Tolliver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578348322
PECOS PAC ID: 8820444185
Enrollment ID: I20231024001400
Provider NameCamille Brazzle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194286484
PECOS PAC ID: 0143554576
Enrollment ID: I20231128002673
Provider NameElizabeth Anne Burkart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801659891
PECOS PAC ID: 6204270275
Enrollment ID: I20240217000298
Provider NameNicole Schanta Rusinowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558086819
PECOS PAC ID: 4183061724
Enrollment ID: I20240319002145
Provider NameAlisha Mae Demo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962108951
PECOS PAC ID: 7113365297
Enrollment ID: I20240409002170
Provider NameFranklin Shellenbarger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518725209
PECOS PAC ID: 0042659005
Enrollment ID: I20240423004178
Provider NameKristen Koechert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427454206
PECOS PAC ID: 8022331974
Enrollment ID: I20240522003162
Provider NameTammie Hoke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952026981
PECOS PAC ID: 9931564929
Enrollment ID: I20240626003384
Provider NameChelsea Mccreary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518708874
PECOS PAC ID: 3375087968
Enrollment ID: I20240708001739
Provider NameByron Herpich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164629515
PECOS PAC ID: 6002931839
Enrollment ID: I20240710002496
Provider NameBrian Whyms
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821440066
PECOS PAC ID: 2365736378
Enrollment ID: I20240724002814
Provider NameSherrika Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144681594
PECOS PAC ID: 1254639875
Enrollment ID: I20240822003044
Provider NamePaul Scherer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396458543
PECOS PAC ID: 2567833064
Enrollment ID: I20240909003691
Provider NameKaitlynn Mckay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124772546
PECOS PAC ID: 5890182901
Enrollment ID: I20240914000516
Provider NameCiara A. Huizenga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285469387
PECOS PAC ID: 7810429834
Enrollment ID: I20241016000559
Provider NameChristina M Shettler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952078727
PECOS PAC ID: 9335669456
Enrollment ID: I20250219003770
Provider NameJenna Anthony
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073391926
PECOS PAC ID: 8123478906
Enrollment ID: I20250226003137
Provider NamePaula Requeijo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427084763
PECOS PAC ID: 8325003742
Enrollment ID: I20250228002892
Provider NameDillard Elmore
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841225554
PECOS PAC ID: 1355355983
Enrollment ID: I20250228003275
Provider NameCarly E Crull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578021135
PECOS PAC ID: 2668993908
Enrollment ID: I20250304000613
Provider NameStephanie Marie Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558085688
PECOS PAC ID: 8921520305
Enrollment ID: I20250314000673
Provider NameAinsly Manning
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1851362537
PECOS PAC ID: 4385627314
Enrollment ID: I20250410003141
Provider NameEllysse Bertus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083499453
PECOS PAC ID: 3072961549
Enrollment ID: I20250414001636
Provider NameRebekka Lindamood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447912134
PECOS PAC ID: 3173919529
Enrollment ID: I20250418000607
Provider NameMolly Ann Marlatt
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1871397844
PECOS PAC ID: 6507377512
Enrollment ID: I20250617001543
Provider NamePauline Delinois
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275183931
PECOS PAC ID: 1658785142
Enrollment ID: I20250620000327
Provider NameJulia Didesiderio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548717192
PECOS PAC ID: 9537441993
Enrollment ID: I20250723003798
Provider NameAlexander Rabadi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750012118
PECOS PAC ID: 0446639355
Enrollment ID: I20250806001678
Provider NameRamon Trinidad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588211627
PECOS PAC ID: 2860829355
Enrollment ID: I20251013002920
Provider NameJenni Crossley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700393816
PECOS PAC ID: 3870853716
Enrollment ID: I20251015003013
Provider NameSrinidhi Shyamkumar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801538566
PECOS PAC ID: 6709265788
Enrollment ID: I20251023001351
Provider NameJoshua Dubridge
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1588544928
PECOS PAC ID: 0547759250
Enrollment ID: I20251031000901
Provider NameCharlotte N Nana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134930035
PECOS PAC ID: 6305336918
Enrollment ID: I20251103002909
Provider NameRoberta Finn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164809323
PECOS PAC ID: 4082952072
Enrollment ID: I20251115000416
Provider NameHannah Lauren Smoot
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1740008002
PECOS PAC ID: 9638655798
Enrollment ID: I20260108003419
Provider NameGala Rochelle Livous
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699655944
PECOS PAC ID: 9032695705
Enrollment ID: I20260113000421
Provider NameChaniece Doyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477300663
PECOS PAC ID: 0042799389
Enrollment ID: I20260207000271
Provider NameJennifer Rosario Alejaga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497611768
PECOS PAC ID: 7719466986
Enrollment ID: I20260209000683
Provider NameCrystal Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689228678
PECOS PAC ID: 1254761752
Enrollment ID: I20260330001158
Provider NameJodi Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861901555
PECOS PAC ID: 3971860180
Enrollment ID: I20260521002487
Provider NameVlastimil Smetka
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497974273
PECOS PAC ID: 1658424825
Enrollment ID: I20260521003251

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.