Mymichigan Medical Group

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MYMICHIGAN MEDICAL GROUP

Practice address

4005 Orchard Dr
Midland, MI 48670-0001

Phone

(989) 839-3385

Fax

(989) 839-1491

NPI assigned

May 8, 2006

Last updated

Jan 15, 2026By the provider in NPPES

Organization subpart

No

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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

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

• Mymichigan Medical Group

  • Surgery Physician
  • Midland, MI
  • NPI 1386694768

  O20040126000905

  Same enrollment
• Mymichigan Medical Group

  • Obstetrics & Gynecology Physician
  • Midland, MI
  • NPI 1477503852

  O20040126000905

  Same enrollment
• Mymichigan Medical Group

  • Psychiatry Physician
  • Midland, MI
  • NPI 1568412948

  O20040126000905

  Same enrollment
• Mymichigan Medical Group

  • Internal Medicine Physician
  • Midland, MI
  • NPI 1629027669

  O20040126000905

  Same enrollment
• Mymichigan Medical Group

  • Family Medicine Physician
  • Midland, MI
  • NPI 1740230127

  O20040126000905

  Same enrollment
• Mymichigan Medical Group

  • Family Medicine Physician
  • Midland, MI
  • NPI 1801008735

  O20040126000905

  Same enrollment

Practitioners 4

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.

• Chelsea E Bruns, PA

  • Physician Assistant
  • Midland, MI
  • NPI 1871003145
  NPD
• Kelli Christie, PA-C

  • Physician Assistant
  • Bay City, MI
  • NPI 1316403504
  NPD
• Kristin Marie Johnson, P.A.

  • Physician Assistant
  • Freeland, MI
  • NPI 1265873335
  NPD
• Matthew Emerson Kaiser, PA-C

  • Medical Physician Assistant
  • Artesia, NM
  • NPI 1053776708
  NPD

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1407805302",
    "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": "4005 ORCHARD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486700001",
            "telephone_number": "989-839-3385",
            "fax_number": "989-839-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "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": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mymichigan Medical Center Midland
• Mymichigan Medical Center Midland
• Mymichigan Medical Center Midland
• Mymichigan Medical Group
• Mymichigan Medical Group
• Mymichigan Medical Group
• Mymichigan Medical Group
• Mymichigan Medical Group
• Mymichigan Medical Group
• Mymichigan Medical Group

• Psychiatry Physician in Midland, MI
• Providers in Midland, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.