NPIMap

Organization Active NPI

Munson Medical Group

Doing business as Munson Family Practice Residency

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1861047060
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MUNSON MEDICAL GROUP
Doing business as
Munson Family Practice Residency
Practice address
1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone
(231) 935-8000
Fax
(231) 935-8099
NPI assigned
Aug 5, 2019
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MUNSON MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Michael Frye, MD
Title
Pres Ambulatory & Bus. Development
Phone
(704) 458-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1400 Medical Campus Dr
Traverse City, MI 49684-7823

Mailing address

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000

Other names 1

  • Munson Family Practice Residency Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000061 MI Part B Supplier - Clinic/Group Practice 8820277015 Receives reassigned benefits from 197 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Manistee, MI; Petoskey, MI; Prudenville, MI; Sault Saint Marie, MI; Traverse City, MI; Kalkaska, MI; Cadillac, MI; Charlevoix, MI…

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
Munson Medical Group5 organizations share this tax ID, including this one
Part of
Munson Medical Group

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: akeough@direct.mhc.net
  • Direct secure messaging: bbrown10@direct.mhc.net
  • Direct secure messaging: cmanoogian@direct.mhc.net
  • Direct secure messaging: cwhittaker@direct.mhc.net
  • Direct secure messaging: dklee2@direct.mhc.net
  • Direct secure messaging: egodfrey@direct.mhc.net
  • Direct secure messaging: ikeith@direct.mhc.net
  • Direct secure messaging: jbarnwell@direct.mhc.net
  • Direct secure messaging: jpollard@direct.mhc.net
  • Direct secure messaging: jrawlin@direct.mhc.net
  • Direct secure messaging: kclark2@direct.mhc.net
  • Direct secure messaging: kshaffer@direct.mhc.net
  • Direct secure messaging: mhc.munsonfamilypractice@direct.mhc.net
  • Direct secure messaging: mwolbers@direct.mhc.net
  • Direct secure messaging: rcleminson@direct.mhc.net
  • Direct secure messaging: rhumereichardt@direct.mhc.net
  • Direct secure messaging: rpreston@direct.mhc.net
  • Direct secure messaging: swindle@direct.mhc.net

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1861047060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MEDICAL CAMPUS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847823",
            "telephone_number": "231-935-8000",
            "fax_number": "231-935-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MEDICAL CAMPUS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847823",
            "telephone_number": "231-935-8000",
            "fax_number": "231-935-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUNSON MEDICAL GROUP",
        "enumeration_date": "2019-08-05",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRES AMBULATORY & BUS. DEVELOPMENT",
        "authorized_official_telephone_number": "704-458-8010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munson Family Practice Residency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Munson Family Practice Residency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.