Wa Foote Memorial Hospital, Inc
NPI 1629000708 · Nurse Practitioner · Jackson, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wa Foote Memorial Hospital, Inc is a Nurse Practitioner organization in Jackson, MI (NPI 1629000708).
Provider details
- NPI number
- 1629000708
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Wa Foote Memorial Hospital, Inc
- Organization subpart
- Yes
- Authorized official
- Jeanne' Wickens, Senior Vice President of Finance(517) 841-6979
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Henry Ford Allegiance Health
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2016-04-01
Frequently asked questions
- What is Wa Foote Memorial Hospital, Inc's NPI number?
- Wa Foote Memorial Hospital, Inc's National Provider Identifier (NPI) is 1629000708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wa Foote Memorial Hospital, Inc?
- Wa Foote Memorial Hospital, Inc is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Wa Foote Memorial Hospital, Inc located?
- Wa Foote Memorial Hospital, Inc's practice location on file with NPPES is 205 N East Ave, Jackson, MI 49201-1753.
- What is Wa Foote Memorial Hospital, Inc's phone number?
- The practice phone number listed in the NPPES registry for Wa Foote Memorial Hospital, Inc is (517) 788-4800.
- Does Wa Foote Memorial Hospital, Inc accept Medicare?
- Wa Foote Memorial Hospital, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wa Foote Memorial Hospital, Inc?
- The authorized official listed on Wa Foote Memorial Hospital, Inc's NPPES record is Jeanne' Wickens, Senior Vice President of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wa Foote Memorial Hospital, Inc's NPI active?
- Yes — Wa Foote Memorial Hospital, Inc's NPI (1629000708) is active in the NPPES registry as of the last update on 2016-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.