NPIMap

Individual provider Active NPI

Michael Lane McConnon, M.D.

  • Family Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1235336843
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301104698 Issued in MI
Practice address
2790 Health Pkwy
Mt Pleasant, MI 48858-6934
Phone
(989) 953-5320
Fax
(989) 953-5329
NPI assigned
Jun 27, 2007
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301104698 MI Primary

Addresses

Primary practice location

2790 Health Pkwy
Mt Pleasant, MI 48858-6934

Mailing address

2940 Health Pkwy
Mt Pleasant, MI 48858-9342
Phone (989) 953-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006002265 MI Practitioner - Family Practice 2567608870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isabella Citizens for Health IncGroup PAC ID 9335386051, 12 clinicians

Practice addresses (Care Compare)

2790 Health Pkwy
Mount Pleasant, MI 48858-6934
Phone (989) 953-5320

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Isabella Citizens for Health, Inc. Current Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan Current Accepting new patients
Isabella Citizens for Health Inc Family Medicine CurrentSince Oct 20, 2014 Accepting new patients
Isabella Citizens for Health Inc CurrentSince Oct 20, 2014 Accepting new patients
McLaren Central Michigan Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
Isabella Citizens for Health Inc Current Accepting new patients

Locations

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2790 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 779-5270

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.mcconnon.p1@direct.isabellahealth.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Isabella Citizens for Health IncMt Pleasant, MI, CCN 231038 Federally qualified health center Corporate Director (10%) Jan 1, 2018
Women's Health Center of Isabella Citizens for Health, IncMt Pleasant, MI, CCN C71005 Federally qualified health center W-2 Managing Employee Jan 1, 2018
Farwell Health Center of Isabella Citizens for HealthFarwell, MI, CCN C71036 Federally qualified health center W-2 Managing Employee (5%) Jan 1, 2018

Owned or controlled facilities with NPI records 3

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

Organizations & group practices 7

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 7

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1235336843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 HEALTH PKWY",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589342",
            "telephone_number": "989-953-5320",
            "fax_number": "989-953-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PKWY",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488586934",
            "telephone_number": "989-953-5320",
            "fax_number": "989-953-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNON",
        "first_name": "MICHAEL",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301104698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.