Munson Medical Center
Organization Active NPI Nurse Practitioner · Traverse City, MI
NPI 1477581759 · NPPES record last updated May 30, 2008
Key facts
- NPI
- 1477581759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- MUNSON MEDICAL CENTER
- Practice address
- 1105 6TH St
Traverse City, MI 49684-2349 - Phone
- (231) 935-5000
- NPI assigned
- Jun 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Edward B Carlson
- Title
- Cfo
- Phone
- (231) 935-5000
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 11
Practitioners 385
-
Dana Lucile Hoffman, MSN, ANP-C
-
Yelena Kier, D.O.
-
Barbara Ames, NP-C
-
Suzanne C Coffin, P.A.
-
Julie Comfort, FNP
-
Patricia Davis, CNPF
-
Kendra G Worden, MSN,FNP-C
-
Margaret Ann Hall, MSN, RN, FNP-BC
-
Nathan Rousse, C.N.P.
-
Renae Vaughn, RN, MSN, ARNP-C
-
Shan E Abbas, M.D.
-
Glen Neil Ackerman, M.D.
-
Todd R Adams, DO
-
Larry D Alexander, P.A.
-
Jefferson D Alferink, PA-C
-
Thomas C Andrews, MD
-
Ashley A Apsey, RN, FNP-C
-
Jessica Arden, M.D., PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040827000534 | MI | Part B Supplier - Clinic/Group Practice | 3072426287 |
Receives reassigned benefits from 13 practitioners 1 other NPI on this enrollment Practice locations: Traverse City, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
1105 6TH St
Traverse City, MI 49684-2349
Mailing address
PO Box 1131
Traverse City, MI 49685-1131
Phone (231) 935-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500B811000 | Other | BLUE SHIELD | |
| 500B811000 | Other | BLUE CARE NETWORK |
Other providers in Traverse City, MI
- Munson Medical Center
- Munson Medical Center
- Munson Medical Center
- Munson Medical Center
- Munson Medical Center
- Munson Medical Center
- Munson Medical Center
- Munson Medical Center
- Munson Medical Center
- Munson Medical Center
All providers in Traverse City, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.