Individual provider Active NPI

Lynne Mary McCormick, DO

  • Urology Physician
  • Jackson, MI
National Provider Identifier
1194779983
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5101011781 Issued in MI
Practice address
150 S East Ave
Jackson, MI 49201-2412
Phone
(517) 205-2146
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5101011781 MI Primary
Urology Physician 208800000X 5599 AK

Addresses

Primary practice location

150 S East Ave
Jackson, MI 49201-2412

Mailing address

1011 Sunnyside Dr
Cadillac, MI 49601-8735
Phone (231) 779-2565

Other names 1

  • Lynne Mary Hinterberg Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lynne.mccormick@cup.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050624000880 MI Practitioner - Urology 5496790917 Reassigns benefits to 8 organizations
I20050802000231 TX Practitioner - Urology 5496790917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
W. a. Foote Memorial Hospital, Inc. 476 clinicians
Southeast Alaska Regional Health Consortium 373 clinicians
Mymichigan Medical Center Midland 507 clinicians

Practice addresses (Care Compare)

205 N E Ave
Jackson, MI 49201-1753

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

4100 Campus Ridge Dr
Midland, MI 48640-6139
Phone (989) 839-1386

813 W Michigan Ave
Henry Ford Allegiance Wound Care Center M
Jackson, MI 49201-4158
Phone (517) 205-6430

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Southeast Alaska Regional Health Consortium Hospital, Sitka, AK, CCN 021314
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5599AKMDUrology Physician
5101011781MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Charlevoix Hospital Urology CurrentSince Feb 1, 2022 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Munson Healthcare Grayling CurrentSince Feb 1, 2022 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Urology CurrentSince Jun 1, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jun 1, 2025 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Munson Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Munson Healthcare Cadillac Urology CurrentSince Aug 1, 2020 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Feb 1, 2022 Accepting new patients
Munson Healthcare Cadillac CurrentSince Aug 1, 2020 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Apr 1, 2025 Accepting new patients
Munson Healthcare Charlevoix Hospital Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Apr 1, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jan 1, 2025 Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Munson Healthcare Manistee Hospital Current Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Healthcare Grayling CurrentSince Feb 1, 2022 Accepting new patients
Munson Healthcare Manistee Hospital CurrentSince Mar 20, 2021 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Feb 1, 2022 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Feb 1, 2022 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jan 1, 2025 Accepting new patients
Munson Medical Center CurrentSince Mar 1, 2020 Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients

Locations (25 of 29)

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

1200 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 463-4031

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

3782 Momentum Pl
Chicago, IL 60689

3781 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

1011 Sunnyside Dr
Cadillac, MI 49601
Phone (231) 779-2565

14695 Park Ave
Ste A
Charlevoix, MI 49720
Phone (231) 547-2812

14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477

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

829 N Center Ave
Ste 260
Gaylord, MI 49735
Phone (989) 731-6405

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

809 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0530

8881 M 119
Harbor Springs, MI 49740
Phone (231) 347-5400

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

150 S East Ave
Jackson, MI 49201
Phone (517) 205-2146

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1293 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1735

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

4100 Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

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

550 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 253-2665

Interoperability endpoints

  • Direct secure messaging: lynne.mccormick@cup.eclinicaldirectplus.com

Organizations & group practices 49

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.

View all 49

Hospital & facility affiliations 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1194779983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SUNNYSIDE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018735",
            "telephone_number": "231-779-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012412",
            "telephone_number": "517-205-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "LYNNE",
        "middle_name": "MARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101011781",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AK",
            "license": "5599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lynne.mccormick@cup.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1011 Sunnyside Dr",
            "city": "Cadillac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496018735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LYNNE",
            "last_name": "HINTERBERG",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.