Blue Water Asc LLC
NPI 1720023690 · Ambulatory Surgical Clinic/Center · Port Huron, MI
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Water Asc LLC is a Ambulatory Surgical Clinic/Center organization in Port Huron, MI (NPI 1720023690).
Provider details
- NPI number
- 1720023690
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Snodgrass, President(615) 665-1283
- License
- 74-6817 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
978 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 291 | $333 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 278 | $370 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 119 | $626 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 117 | $330 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance62321 | 36 | $329 |
| Release And/Or Relocation of Hand Nerve |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Blue Water Surgery Center, LLC
- Doing business as
- Blue Water Surgery Center, LLC
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Frequently asked questions
- What is Blue Water Asc LLC's NPI number?
- Blue Water Asc LLC's National Provider Identifier (NPI) is 1720023690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Water Asc LLC?
- Blue Water Asc LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blue Water Asc LLC located?
- Blue Water Asc LLC's practice location on file with NPPES is 920 River Centre Dr, Port Huron, MI 48060-4463.
- What is Blue Water Asc LLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Water Asc LLC is (810) 984-5200.
- Does Blue Water Asc LLC accept Medicare?
- Blue Water Asc LLC 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 Blue Water Asc LLC?
- The authorized official listed on Blue Water Asc LLC's NPPES record is Jeffrey Snodgrass, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Water Asc LLC's NPI active?
- Yes — Blue Water Asc LLC's NPI (1720023690) is active in the NPPES registry as of the last update on 2025-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.