NPIMap

Organization Active NPI

Mymichigan Medical Center Alpena

Doing business as MyMichigan Family Medicine

  • Rural Health Clinic/Center
  • Alpena, MI
National Provider Identifier
1144722604
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MYMICHIGAN MEDICAL CENTER ALPENA
Doing business as
MyMichigan Family Medicine
Practice address
211 Long Rapids Rd
Alpena, MI 49707-1315
Phone
(989) 354-2142
NPI assigned
Mar 1, 2018
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Sarah James
Title
Manager, Provider Enrollment
Phone
(989) 701-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

211 Long Rapids Rd
Alpena, MI 49707-1315

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other names 1

  • MyMichigan Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170407001517 MI Part A Provider - Rural Health Clinic 4981501939 Practice locations: Alpena, MI
O20230314000723 MI Part A Provider - Rural Health Clinic 8527969922 Practice locations: Alpena, MI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1144722604. Details of each certification follow.

Rural health clinic certification: CCN 233900

Legal name
MYMICHIGAN MEDICAL GROUP
Doing business as
MIDMICHIGAN PHYSICIANS GROUP FAMILY MEDICINE
Certification status
Terminated Other: provider status change, Mar 1, 2023
Provider type (POS)
Rural health clinic
Participating since
Nov 19, 1996
Last certification
Dec 6, 2018
Ownership / control type
2B
Most recent change of ownership
Mar 1, 2023 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 27, 1998 in MI
Enrollment address
211 Long Rapids Rd
Alpena, MI 49707-1315

Rural health clinic certification: CCN 238775

Legal name
MYMICHIGAN MEDICAL CENTER ALPENA
Doing business as
MYMICHIGAN FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 1, 2023
Last certification
Nov 25, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
211 Long Rapids Rd
Alpena, MI 49707-1315
Related CCNs
230036

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0916828Mymichigan Family Medicine211 Long Rapids Road, Alpena, MI 49707Certificate of waiverJun 30, 2028

National Provider Directory

National Provider Directory
Tax ID family
Mymichigan Medical Group8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7320 N Alger Rd
Ste G
Alma, MI 48801
Phone (989) 463-2966

401 Long Rapids Plz
Alpena, MI 49707
Phone (989) 356-9333

2980 Wilder Rd
Bay City, MI 48706
Phone (989) 667-9510

2980 Wilder Rd
Ste B
Bay City, MI 48706
Phone (989) 509-3333

1432 N McEwan St
Clare, MI 48617
Phone (517) 802-5015

600 SE 4th St
Clare, MI 48617
Phone (989) 386-7723

602 Beech St
Ste 3210
Clare, MI 48617
Phone (989) 802-8817

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

2812 W Cadillac Dr
Farwell, MI 48622
Phone (989) 588-5050

7340 Midland Rd
Freeland, MI 48623
Phone (989) 695-2123

815 N Clare Ave
Ste A
Harrison, MI 48625
Phone (989) 539-4434

16690 Gratiot Rd
Hemlock, MI 48626
Phone (989) 642-6262

4005 Orch
Midland, MI 48670
Phone (517) 839-3385

4201 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450

4401 Campus Ridge Dr
#130
Midland, MI 48640
Phone (989) 837-3385

4401 Campus Ridge Dr
Ste LL380
Midland, MI 48640

4401 N Campus Ridge Dr
Ste C2000
Midland, MI 48640
Phone (989) 837-9150

4401 N Campus Ridge Dr
Ste C2100
Midland, MI 48640
Phone (989) 837-9200

4401 N Campus Ridge Dr
Ste C2200
Midland, MI 48640
Phone (517) 837-9008

4401 N Campus Ridge Dr
Ste D2050
Midland, MI 48640
Phone (989) 837-9435

4401 N Campus Ridge Dr
Ste D2100
Midland, MI 48640
Phone (989) 837-9300

1621 E Broomfield St
Ste C
Mt Pleasant, MI 48858
Phone (989) 427-5320

121 I and K St
Saint Louis, MI 48880
Phone (989) 466-7785

364 W Wright Ave
Shepherd, MI 48883
Phone (989) 828-6691

2431 S M 30
Ste 200
West Branch, MI 48661
Phone (989) 343-3762

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James S Bicknell Individual Corporate OfficerPresident Aug 1, 2016
Christy L Werth Individual W-2 Managing EmployeeMedical Director Aug 1, 2016
Susan M Sallach Individual Corporate OfficerBoard Member Aug 1, 2016
Thomas V Claringbold Individual Corporate OfficerBoard Member - Chairman Aug 1, 2016
Kenneth Vansumeren Individual Corporate OfficerBoard Member Aug 1, 2016
Paul Berg Individual Corporate OfficerBoard Member - Vice Chairman Aug 1, 2016
John Allen Lieberman Individual Corporate OfficerBoard Member Aug 1, 2016
Kathleen Regan Individual Corporate OfficerBoard Member Aug 1, 2016
Cinthia Brooks Individual W-2 Managing Employee Aug 1, 2016
Lesley Stgermain Individual W-2 Managing Employee Aug 1, 2016
Peter Bistolarides Individual Corporate OfficerBoard Member Apr 1, 2016
Kirk Jon Bortel Individual Corporate OfficerBoard Member Aug 1, 2016
Phillip a Kadaj Individual Corporate OfficerBoard Member Aug 1, 2017
Sarah James Individual Corporate OfficerManager of Operations, Pe Jul 1, 2025
Lydia Watson Individual Corporate OfficerPresident Mar 1, 2023
Samantha Hunter Individual W-2 Managing Employee Feb 26, 2025
Mymichigan Health Organization, Midland, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Operational/Managerial Control Mar 1, 2023
Hunter Nostrant Individual 5% Or Greater Indirect Ownership InterestPresident Sep 11, 2024 5%
Corporate OfficerPresident Sep 1, 2024
Tricia Gorde Individual Corporate DirectorDirector, Provider Enrollment Jan 20, 2025

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2016 Change of OwnershipThis provider was the buyer Alpena Medical Arts PCCCN 233900, MI, NPI 1811992704

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 308

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 308

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1144722604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LONG RAPIDS RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071315",
            "telephone_number": "989-354-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER ALPENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "989-701-4734"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyMichigan Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.