Kristalyn J Mauch, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Alpena, MI
NPI 1992048284 · NPPES record last updated Jul 18, 2019
Key facts
- NPI
- 1992048284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 4301119297 (MI)
- Practice address
- 401 Long Rapids PLZ
Alpena, MI 49707 - Phone
- (989) 356-9333
- Fax
- (989) 356-0804
- NPI assigned
- Apr 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Toledo Medical College, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mymichigan Medical Group
Practice addresses (Care Compare)
401 Long Rapids PLZ
Alpena, MI 49707-1394
Phone (989) 356-9333
Hospital & facility affiliations
- Mymichigan Home Care Northern Michigan
- Mymichigan Medical Center Alpena
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 13 |
| Knee replacement | 12 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 15 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190603000782 | MI | Practitioner - Orthopedic Surgery | 3476855610 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301119297 | MI | MD | Orthopaedic Surgery Physician |
| FD2397304-8208 | MI | MD | Orthopaedic Surgery Physician |
| R6241 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Group | Single Specialty | Current |
Accepting new patients |
| Mymichigan Medical Center Alpena | Current |
Accepting new patients | |
| Mymichigan Medical Group | Single Specialty | Past | Accepting new patients |
Locations
401 Long Rapids Plz
Alpena, MI 49707
Phone (989) 356-9333
11899 M 32
Atlanta, MI 49709
Phone (989) 785-4855
602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
177 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-3020
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
208 S State St
Ste A
Oscoda, MI 48750
Phone (989) 356-8089
Interoperability endpoints
- kmauch87933@mymichiganhealth.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | FD2397304-8208 | MI | |
| Orthopaedic Surgery Physician | 207X00000X | R6241 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician |
207X00000X | 4301119297 | MI | Yes |
Addresses
Primary practice location
401 Long Rapids PLZ
Alpena, MI 49707
Mailing address
401 Long Rapids PLZ
Alpena, MI 49707-1394
Phone (989) 356-9333
Other practice location 1
4201 Saint Antoine St
Uhc 46
Detroit, MI 48201
Phone (313) 966-8013
Other practice location 2
4201 Saint Antoine St
Uhc 46
Detroit, MI 48201
Phone (313) 966-8013
Other practice location 3
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 567-5109
Other providers in Alpena, MI
- Kaley Mason
- Maria Jeanette Mason
- John Clayton Mattson
- Marie A Mattson
- Brittany Matuzak
- Daniel L Maxwell
- Mitchell Gregory May
- Kirk C McAnsh
- Conner William McCoy
- Sandra K McCubbrey
All providers in Alpena, MI · Orthopaedic Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2019. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.