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Deactivated NPI 1063082261 Deactivated / Inactive NPI Male Practitioner

Jalen Cates

Specialist • Port Huron, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jalen Cates has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 29, 2021
NPI Deactivation Date July 05, 2021
Total Practice Duration ~1 Years of Practice (2021 – 2021)

Professional Overview & Biography Verified Profile Summary

Jalen Cates was a registered Specialist practicing in Port Huron, MI. Throughout an active medical career spanning 1 years, Jalen Cates provided care at the practice location at 3111 ELECTRIC AVE until profile deactivation on 2021-07-05.

Practice Location & Contact Primary Location

Practice Address

3111 Electric Ave

Port Huron, MI 480608127

Telephone 8109858900
Associated Practice Facility / Clinic
🏢 Genoa Healthcare Llc Facility NPI 1497791313

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Port Huron, MI (867 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-28
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mary Croteau , RN, BSN

Registered Nurse

NPI 1003132630

Registered Nurse, Bachelor of Science in Nursing

Heather Stewart , LMSW

Social Worker - Clinical

NPI 1003237710

Licensed Master Social Worker

Micaela Champine

Peer Specialist

NPI 1003345562
Callie Gunn

Social Worker - Clinical

NPI 1003483215
Jacqueline Nichols

Technician/Technologist

NPI 1003665597
Shelby Graham

Case Manager/Care Coordinator

NPI 1003777103

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
📍
Updated Practice Location August 28, 2021

Registered at 3111 ELECTRIC AVE, PORT HURON, MI 480608127 (Tel: 8109858900)

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Updated Business Mailing Address August 28, 2021

Registered at 2540 TAYLOR DR, KIMBALL, MI 480741128 (Tel: 8103007855)

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Provider Name / Credentials Updated August 28, 2021

Recorded as JALEN CATES

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2021

Specialist

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NPI Profile Deactivated July 05, 2021

Record deactivated on July 05, 2021

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Initial NPI Registration & Enumeration June 29, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063082261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2021
Last Update: August 28, 2021
Deactivation Date: July 05, 2021
Sole Proprietor: Yes

Mailing Address

2540 Taylor Dr

Kimball, MI 480741128

Phone: 8103007855

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.