Individual provider Active NPI

Anna Miracle, DO

  • Family Medicine Physician
  • Bay City, MI
National Provider Identifier
1366000895
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101026834 Issued in MI
Practice address
3884 Monitor Rd
Bay City, MI 48706-9298
Phone
(989) 671-2000
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5151013787 MI
Family Medicine Physician 207Q00000X 5101026834 MI Primary

Addresses

Primary practice location

3884 Monitor Rd
Bay City, MI 48706-9298

Mailing address

3884 Monitor Rd
Bay City, MI 48706-9298
Phone (989) 671-2000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622003124 MI Practitioner - Family PracticePractitioner - Hospitalist 2668705518 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Thumb RegionGroup PAC ID 6800709221, 39 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
McLaren Bay RegionGroup PAC ID 5597659011, 110 clinicians

Practice addresses (Care Compare)

1100 S Van Dyke Rd
Bad Axe, MI 48413-9615
Phone (989) 269-9521

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101026834MIMDFamily Medicine Physician
5151013787MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Bay Region Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
McLaren Caro Region CurrentSince Sep 23, 2024 Accepting new patients
Huron Pathology Services PC Current Accepting new patients
Great Lakes Bay Health Centers CurrentSince Aug 1, 2022 Accepting new patients
McLaren Thumb Region CurrentSince Sep 23, 2024 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Aug 1, 2022 Accepting new patients
McLaren Bay Region CurrentSince Jan 8, 2024 Accepting new patients
McLaren Caro Region CurrentSince Sep 23, 2024 Accepting new patients
McLaren Thumb Region CurrentSince Sep 23, 2024 Accepting new patients
McLaren Hospital Group CurrentSince Nov 11, 2025 Accepting new patients
McLaren Thumb Region Current Accepting new patients
McLaren Bay Region Past Accepting new patients

Locations

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

3884 Monitor Rd
Bay City, MI 48706
Phone (989) 671-2000

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

1458 W Center Rd
Ste 1
Essexville, MI 48732
Phone (989) 895-4625

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

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

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1366000895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3884 MONITOR RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069298",
            "telephone_number": "989-671-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3884 MONITOR RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069298",
            "telephone_number": "989-671-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRACLE",
        "first_name": "ANNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5151013787",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101026834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.