NPIMap

Organization Active NPI

Mymichigan Medical Center West Branch

  • Certified Registered Nurse Anesthetist
  • West Branch, MI
National Provider Identifier
1982247482
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MYMICHIGAN MEDICAL CENTER WEST BRANCH
Practice address
2463 S M 30
West Branch, MI 48661-9312
Phone
(989) 343-3228
Fax
(989) 343-3113
NPI assigned
Oct 28, 2019
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

2463 S M 30
West Branch, MI 48661-9312

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160714002424 MI Part B Supplier - Clinic/Group Practice 7214251081 Receives reassigned benefits from 182 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alma, MI; West Branch, MI; Houghton Lake, MI; Gladwin, MI

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Mymichigan Medical W Branch9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 22

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.

  • Branden M Borchardt, CRNA
    • Certified Registered Nurse Anesthetist
    • Bad Axe, MI
    • NPI 1265488530

    Nurse Anesthetist, Certified Registered

    NPD
  • Michelle L Corazza, CRNA
    • Certified Registered Nurse Anesthetist
    • Royal Oak, MI
    • NPI 1437126943

    Nurse Anesthetist, Certified Registered

    NPD
  • Jerry J Dawes, CRNA
    • Certified Registered Nurse Anesthetist
    • Flint, MI
    • NPI 1104842780

    Nurse Anesthetist, Certified Registered

    NPD
  • Micah Scott Denome
    • Certified Registered Nurse Anesthetist
    • Midland, MI
    • NPI 1366175606

    Nurse Anesthetist, Certified Registered

    NPD
  • Kari Nicole Diederich, CRNA
    • Certified Registered Nurse Anesthetist
    • Midland, MI
    • NPI 1548368657

    Nurse Anesthetist, Certified Registered

    NPD
  • Lee Fowler
    • Certified Registered Nurse Anesthetist
    • Saginaw, MI
    • NPI 1396136024

    Nurse Anesthetist, Certified Registered

    NPD
  • William Gilbert, CRNA
    • Certified Registered Nurse Anesthetist
    • Madison Heights, MI
    • NPI 1700833100

    Nurse Anesthetist, Certified Registered

    NPD
  • Todd E Hamilton, CRNA
    • Certified Registered Nurse Anesthetist
    • Detroit, MI
    • NPI 1013226661

    Nurse Anesthetist, Certified Registered

    NPD
  • Jeffery J Hanover, CRNA
    • Certified Registered Nurse Anesthetist
    • Midland, MI
    • NPI 1942390661

    Nurse Anesthetist, Certified Registered

    NPD
  • Eric William Houk, CRNA
    • Certified Registered Nurse Anesthetist
    • Clare, MI
    • NPI 1952380487

    Nurse Anesthetist, Certified Registered

    NPD
  • Christopher W Kesting, CRNA
    • Certified Registered Nurse Anesthetist
    • Big Rapids, MI
    • NPI 1780650929

    Nurse Anesthetist, Certified Registered

    NPD
  • Raquel E Killop, CRNA
    • Certified Registered Nurse Anesthetist
    • Troy, MI
    • NPI 1841383478

    Nurse Anesthetist, Certified Registered

    NPD
View all 22

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1982247482",
    "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": "2463 S M 30",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619312",
            "telephone_number": "989-343-3228",
            "fax_number": "989-343-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER WEST BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "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": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

  • 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.