NPIMap

Organization Active NPI

Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
National Provider Identifier
1205889490
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MYMICHIGAN MEDICAL CENTER MIDLAND
Practice address
4000 Wellness Dr
Midland, MI 48670-2000
Phone
(844) 832-1956
NPI assigned
May 18, 2006
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4000 Wellness Dr
Midland, MI 48670-2000

Mailing address

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

Other practice location 1

4611 Campus Ridge Dr
Midland, MI 48640
Phone (989) 839-3500

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324000137 MI Part B Supplier - Clinic/Group Practice 2264323633 Receives reassigned benefits from 643 practitioners
3 other NPIs on this enrollment
O20040712001532 MI Part A Provider - Hospital 2264323633 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205889490. Details of each certification follow.

Hospital certification: CCN 230222

Legal name
MYMICHIGAN MEDICAL CENTER MIDLAND
Doing business as
MYMICHIGAN MEDICAL CENTER MIDLAND
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 9, 2019
Beds
230
Ownership / control type
Other
Organization structure
CorporationNon-profit
Enrollment address
4000 Wellness Dr
Midland, MI 48670-0001
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric, Rehabilitation

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Mymichigan Medical Center MidlandCCN 230222 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • NPS Associates, LLC

    dba Great Lakes Bay Surgery & Endscopy Center

    • Ambulatory Surgical Clinic/Center
    • Midland, MI
    • NPI 1437477619

    Member Of

    NPD member

Locations (25 of 31)

160 E Warwick Dr
Ste 1200
Alma, MI 48801
Phone (855) 466-3621

160 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 466-3621

3051 Kiesel Rd
Bay City, MI 48706
Phone (989) 778-2888

439 S Ross St
Beaverton, MI 48612
Phone (989) 246-3500

5694 Midland Rd
Ste M47
Freeland, MI 48623

9249 W Lake City Rd
Houghton Lake, MI 48629
Phone (989) 422-2183

2660 W Sugnet Rd
Midland, MI 48640
Phone (989) 488-5010

2660 W Sugnet Rd
#C
Midland, MI 48640
Phone (989) 488-5450

315 E Warwick Dr
Ste C3
Midland, MI 48670

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

4100 Campus Ridge Dr
#110
Midland, MI 48640

4201 Campus Ridge Dr
Midland, MI 48670
Phone (989) 794-0320

4201 Campus Ridge Dr
Ste 1000
Midland, MI 48640
Phone (989) 794-5200

4201 Campus Ridge Dr
Ste 2300
Midland, MI 48670
Phone (989) 839-6188

4201 Campus Ridge Dr
Ste 240
Midland, MI 48640

4201 Campus Ridge Dr
Ste 2400
Midland, MI 48640
Phone (989) 631-6710

4201 Campus Ridge Dr
Ste 3200
Midland, MI 48640
Phone (989) 488-5850

4201 Campus Ridge Dr
Ste 3400
Midland, MI 48640
Phone (989) 839-1386

4201 Campus Ridge Dr
Ste 4000
Midland, MI 48640
Phone (989) 839-3393

4228 Bay City Rd
Midland, MI 48642
Phone (989) 495-9100

4400 Wellness Dr
Midland, MI 48640
Phone (989) 839-9494

4401 Campus Ridge Dr
#110
Midland, MI 48640

4401 Campus Ridge Dr
Ste 1000
Midland, MI 48640
Phone (989) 837-9100

4401 N Campus Ridge Dr
Ste 2100
Midland, MI 48640
Phone (989) 837-9300

4401 N Campus Ridge Dr
Ste 2200
Midland, MI 48640
Phone (989) 832-0323

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Nicole Ford Smith Individual W-2 Managing EmployeeBoard Member Jan 1, 2023
Nancy Lamb Individual Contracted Managing EmployeeBoard Member Oct 26, 2021
Mymichigan Medical Center Midland Organization, Midland, MI Non-profit Operational/Managerial Control Jul 1, 2014
Sarah James Individual Corporate OfficerManager of Operations, Pe Jul 1, 2025
Anthony Stamas Individual W-2 Managing EmployeeBoard Member Jan 1, 2023
Sharon a Mortensen Individual Contracted Managing EmployeeBoard Member Oct 26, 2021
Lydia Watson Individual Corporate OfficerPresident Jun 8, 2023
Kimberlee Baczewski Individual W-2 Managing EmployeeBoard Member Jan 1, 2023
Samantha Hunter Individual W-2 Managing Employee Jan 1, 2022
Bryan R Cross Individual Corporate OfficerExecutive Vice President and Coo Oct 1, 2021
Bridgette Gransden Individual Contracted Managing EmployeeBoard Member Oct 26, 2021
Trudy Shira Individual Corporate DirectorDirector-Patient Financial Servi Jan 1, 2013
W-2 Managing EmployeeDirector-Patient Financial Servi Nov 14, 2014
Eric J Becker Individual W-2 Managing EmployeeBoard Member Oct 26, 2021
Tina Church Individual Corporate Director Apr 1, 2021
W-2 Managing Employee Apr 1, 2021
Mymichigan Health Organization, Midland, MI Non-profit Operational/Managerial Control Nov 6, 2007
John Allen Lieberman Individual W-2 Managing EmployeeBoard Member Oct 26, 2021
Gregory H Rogers Individual W-2 Managing EmployeePresident Jul 1, 2021
Randolph Sosolik Individual W-2 Managing EmployeeBoard Member Jan 1, 2023
Tricia Gorde Individual Corporate DirectorDirector, Provider Enrollment Jan 20, 2025
Gregory Dorrien Individual Contracted Managing EmployeeBoard Member Oct 26, 2021
Charles Sherwin Individual Corporate OfficerPresident May 19, 2022

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mymichigan Medical Center MidlandMidland, MI, CCN 230222 Hospital Operational/Managerial Control Jul 1, 2014

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 739

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 739

Affiliated clinicians 1,162

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,162

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1205889490",
    "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": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4611 Campus Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "48640",
            "country_code": "US",
            "telephone_number": "989-839-3500",
            "fax_number": "989-839-1859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER MIDLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.