Individual provider Active NPI

Mary Jean McKuen, M.D., PH.D.

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
National Provider Identifier
1679921498
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301109455 Issued in MI
Practice address
1000 Houghton Ave
Obstetrics and Gynecology
Saginaw, MI 48602-5303
Phone
(989) 583-6800
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301109455 MI Primary

Addresses

Primary practice location

1000 Houghton Ave
Obstetrics and Gynecology
Saginaw, MI 48602-5303

Mailing address

5400 Mackinaw Rd Ste 6100
Saginaw, MI 48604-9533
Phone (989) 792-3100

Other practice location 1

14651 W Upright St
Charlevoix, MI 49720-1266
Phone (231) 547-4477

Other practice location 2

7985 S Mackinaw Trl
Cadillac, MI 49601-8111
Phone (231) 876-6100

Other practice location 3

829 N Center Ave Ste 200
Gaylord, MI 49735-1598
Phone (989) 731-2105

Other practice location 4

2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone (989) 366-2900

Other practice location 5

1250 E Michigan Ave Ste C
Grayling, MI 49738-7074
Phone (989) 348-0550

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
I20201229002433 MI Practitioner - Obstetrics/Gynecology 0042501652 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Practice addresses (Care Compare)

1250 E Michigan Ave
Grayling Community Health Center
Grayling, MI 49738-7074
Phone (989) 348-0550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Feb 5, 2026 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Feb 5, 2026 Accepting new patients
Munson Healthcare Cadillac CurrentSince Feb 5, 2026 Accepting new patients
Munson Healthcare Grayling CurrentSince Feb 5, 2026 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Feb 5, 2026 Accepting new patients
Munson Healthcare Cadillac CurrentSince Feb 5, 2026 Accepting new patients
Womens OB GYN PC Obstetrics & Gynecology CurrentSince Dec 28, 2020 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Feb 5, 2026 Accepting new patients
Munson Healthcare Grayling CurrentSince Feb 5, 2026 Accepting new patients
Munson Healthcare Grayling Past Accepting new patients

Locations

3781 Momentum Pl
Chicago, IL 60689

3782 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

7985 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 825-8101

14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 200
Gaylord, MI 49735
Phone (989) 731-2105

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

1250 E Michigan Ave
Ste C
Grayling, MI 49738
Phone (989) 348-0550

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604
Phone (989) 792-3100

Interoperability endpoints

  • Direct secure messaging: marymckuen@wobgyn.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1679921498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD STE 6100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049533",
            "telephone_number": "989-792-3100",
            "fax_number": "989-792-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "address_2": "OBSTETRICS AND GYNECOLOGY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "989-583-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14651 W Upright St",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201266",
            "country_code": "US",
            "telephone_number": "231-547-4477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7985 S Mackinaw Trl",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496018111",
            "country_code": "US",
            "telephone_number": "231-876-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-2105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2585 W Houghton Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Prudenville",
            "state": "MI",
            "postal_code": "486519624",
            "country_code": "US",
            "telephone_number": "989-366-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Michigan Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497387074",
            "country_code": "US",
            "telephone_number": "989-348-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKUEN",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301109455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.