Individual provider Active NPI

Anna Meyers, D.O

  • Pediatrics Physician
  • Hancock, MI
National Provider Identifier
1184986325
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101020486 Issued in MI
Practice address
500 Campus Dr
Hancock, MI 49930-1452
Phone
(906) 483-1700
Fax
(906) 372-3230
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X O-1558 ID
Pediatrics Physician 208000000X DO177041 OR
Student in an Organized Health Care Education/Training Program 390200000X NJ
Pediatrics Physician 208000000X 5101020486 MI Primary

Addresses

Primary practice location

500 Campus Dr
Hancock, MI 49930-1452

Mailing address

135 E M35
Gwinn, MI 49841-9160
Phone (906) 483-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160706001286 OR Practitioner - Pediatric Medicine 3779875133 Reassigns benefits to 1 organization
I20230512000287 WA Practitioner - Pediatric Medicine 3779875133 Reassigns benefits to 1 organization
I20250425001322 MI Practitioner - Pediatric Medicine 3779875133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101020486MIMDPediatrics Physician
DO177041ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Great Lakes Family Health Center CurrentSince May 1, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Feb 21, 2023 Accepting new patients
Upper Great Lakes Family Health Center Current Accepting new patients
Upper Great Lakes Family Health Center CurrentSince May 1, 2025 Accepting new patients
Portage Hospital LLC Past Accepting new patients
Upper Great Lakes Family Health Center Past Accepting new patients

Locations

135 E State Highway M35
Gwinn, MI 49841
Phone (906) 346-9275

301 Explorer St
Gwinn, MI 49841
Phone (906) 346-4924

500 Campus Dr
Ste 3
Hancock, MI 49930
Phone (906) 483-1050

500 Campus Dr
Ste 4
Hancock, MI 49930
Phone (906) 483-1730

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

3425 SE 192nd Ave
Ste 106
Vancouver, WA 98683
Phone (360) 205-2960

200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1184986325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E M35",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498419160",
            "telephone_number": "906-483-1700",
            "fax_number": "906-372-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAMPUS DR",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301452",
            "telephone_number": "906-483-1700",
            "fax_number": "906-372-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "O-1558",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "DO177041",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101020486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hancock, MI

Sources for this page

Verify at the official NPI Registry.