Organization Active NPI

North Wilton Health PLLC

  • Family Medicine Physician
  • Saint Johns, MI
National Provider Identifier
1053120022
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH WILTON HEALTH PLLC
Practice address
1101 S Scott Rd
Saint Johns, MI 48879-8044
Phone
(989) 224-8936
NPI assigned
Jan 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacob Michael Monestersky, DONPI 1740804632
Title
Owner
Phone
(989) 640-2788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1101 S Scott Rd
Saint Johns, MI 48879-8044

Mailing address

4425 N Airport Rd
Saint Johns, MI 48879-9780
Phone (989) 640-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250228001399 MI Part B Supplier - Clinic/Group Practice 3577083948 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Johns, MI

National Provider Directory

National Provider Directory

Locations

1101 S Scott Rd
#I
Saint Johns, MI 48879
Phone (989) 224-8936

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735948800000",
    "number": "1053120022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 N AIRPORT RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799780",
            "telephone_number": "989-640-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S SCOTT RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488798044",
            "telephone_number": "989-224-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WILTON HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "MONESTERSKY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-640-2788",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.