Michael D Katona, NP
Individual provider Active NPI Family Nurse Practitioner · Indian River, MI
NPI 1174043889 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1174043889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704280087 (MI)
- Practice address
- 3860 S Straits Hwy
Indian River, MI 49749-5146 - Phone
- (231) 238-0581
- Fax
- (989) 731-7929
- NPI assigned
- Jun 23, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Munson Healthcare Otsego Memorial Hospital
Practice addresses (Care Compare)
3860 S Straits Hwy
MHC Omh Medical Group Indian River
Indian River, MI 49749-5146
Phone (231) 238-0581
Hospital & facility affiliations
- Munson Healthcare Otsego Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170912002269 | MI | Practitioner - Nurse Practitioner | 6204109382 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704280087 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Otsego Memorial Hospital | Current |
Accepting new patients | |
| Munson Medical Group | Current |
Accepting new patients | |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current |
Accepting new patients | |
| Munson Medical Group | Current |
Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Past | Accepting new patients | |
| Munson Medical Center | Past | Accepting new patients |
Locations
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
2891 Momentum Pl
Chicago, IL 60689
829 N Center Ave
Ste 120
Gaylord, MI 49735
Phone (989) 731-7987
829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
271 McCoy Rd W
Gaylord, MI 49735
Phone (989) 731-7708
829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
8881 M 119
Harbor Springs, MI 49740
Phone (231) 347-5400
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1200 Sixth St
Ste 200
Traverse City, MI 49684
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
Interoperability endpoints
- mkatona@direct.mhc.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704280087 | MI | Yes |
Addresses
Primary practice location
3860 S Straits Hwy
Indian River, MI 49749-5146
Mailing address
3860 S Straits Hwy
Indian River, MI 49749-5146
Phone (231) 238-0581
Other practice location 1
829 N Center Ave Ste 120
Gaylord, MI 49735-1598
Phone (989) 731-7708
Other practice location 2
8881 M 119
Harbor Springs, MI 49740-9816
Phone (231) 347-5400
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.katona@omhmedicalgroup.directbygreenway.com |
Other providers in Indian River, MI
- Indian River Pharmacy
- Indian River Village Pharmacy Inc
- Jann la Dere MSW LLC
- Kane RX Inc
- Kerri Anne Katona
- Tammy Sue Kauffman
- Robert Clair Kenny
- Jeffrey Jay Kiel
- Seth William King
- Katherine Klose
All providers in Indian River, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.