NPIMap

Organization Active NPI

Munson Medical Center

Doing business as Munson Neurosurgery

  • Neurological Surgery Physician
  • Traverse City, MI
National Provider Identifier
1942685045
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
MUNSON MEDICAL CENTER
Doing business as
Munson Neurosurgery
Practice address
1221 Sixth St
Ste 100
Traverse City, MI 49684-2701
Phone
(231) 392-0640
NPI assigned
Jul 30, 2015
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Bonnie Kruszka
Title
Coo Munson Physician Network
Phone
(231) 935-4995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1221 Sixth St
Ste 100
Traverse City, MI 49684-2701

Mailing address

2513 Momentum PL
Chicago, IL 60689-5325
Phone (231) 935-6080

Other practice location 1

115 Bridge St
Elk Rapids, MI 49629-5110
Phone (231) 392-0430

Other names 1

  • Munson Neurosurgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000904 MI Part B Supplier - Clinic/Group Practice 3072426287 Receives reassigned benefits from 568 practitioners
29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Manistee, MI; Traverse City, MI; Cadillac, MI; Charlevoix, MI; Cheboygan, MI; Elk Rapids, MI; Frankfort, MI; Gaylord, MI…

Other NPIs on the same Medicare enrollment 29

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

View all 29

National Provider Directory

National Provider Directory

Locations

1105 Sixth St
Ste 211
Traverse City, MI 49684
Phone (231) 392-8400

Interoperability endpoints

  • Direct secure messaging: acarroll2@direct.mhc.net
  • Direct secure messaging: ahennessy@direct.mhc.net
  • Direct secure messaging: cleaman@direct.mhc.net
  • Direct secure messaging: drosenbaum@direct.mhc.net
  • Direct secure messaging: grajah@direct.mhc.net
  • Direct secure messaging: jalferink@direct.mhc.net
  • Direct secure messaging: jcampbell8@direct.mhc.net
  • Direct secure messaging: jpearl@direct.mhc.net
  • Direct secure messaging: jwarnes@direct.mhc.net
  • Direct secure messaging: kbetts@direct.mhc.net
  • Direct secure messaging: tfishback@direct.mhc.net
  • Direct secure messaging: tschermerhorn@direct.mhc.net

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1942685045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895325",
            "telephone_number": "231-935-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SIXTH ST",
            "address_2": "STE 100",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842701",
            "telephone_number": "231-392-0640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Elk Rapids",
            "state": "MI",
            "postal_code": "496295110",
            "country_code": "US",
            "telephone_number": "231-392-0430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUNSON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "KRUSZKA",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "COO MUNSON PHYSICIAN NETWORK",
        "authorized_official_telephone_number": "231-935-4995"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munson Neurosurgery",
            "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 Nov 7, 2025; 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.