Individual provider Active NPI

Michael D Katona, NP

  • Family Nurse Practitioner
  • Indian River, MI
National Provider Identifier
1174043889
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704280087 Issued in 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
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704280087 MI Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.katona@omhmedicalgroup.directbygreenway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170912002269 MI Practitioner - Nurse Practitioner 6204109382 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704280087MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jul 26, 2017 Accepting new patients
Munson Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Munson Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jul 26, 2017 Accepting new patients
Munson Medical Group 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

271 McCoy Rd W
Gaylord, MI 49735
Phone (989) 731-7708

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 120
Gaylord, MI 49735
Phone (989) 731-7987

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

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

  • Direct secure messaging: michael.katona@omhmedicalgroup.directbygreenway.com
  • Direct secure messaging: mkatona@direct.mhc.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1174043889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495146",
            "telephone_number": "231-238-0581",
            "fax_number": "989-731-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495146",
            "telephone_number": "231-238-0581",
            "fax_number": "989-731-7929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 N Center Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-7708",
            "fax_number": "989-731-7929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8881 M 119",
            "address_purpose": "LOCATION",
            "city": "Harbor Springs",
            "state": "MI",
            "postal_code": "497409816",
            "country_code": "US",
            "telephone_number": "231-347-5400",
            "fax_number": "231-348-2515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATONA",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704280087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.katona@omhmedicalgroup.directbygreenway.com",
            "affiliation": "N",
            "address_1": "829 N Center Ave",
            "city": "Gaylord",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497351595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indian River, MI

Sources for this page

Verify at the official NPI Registry.