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MUNSON HEALTHCARE OMH MEDICAL GROUP-INDIAN RIVER
NPI 1053661231
General Practice in Indian River, MI

Active since September 14, 2012CLIA Certified · 3 labs
3860 S STRAITS HWY, INDIAN RIVER, MI 49749(231) 238-0581(231) 238-0856 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2022, Aug 22, 2018, Sep 22, 2016 and 1 more (4 updates tracked since 2015).

About Munson Healthcare Omh Medical Group-indian River NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUNSON HEALTHCARE OMH MEDICAL GROUP-INDIAN RIVER (NPI 1053661231) is a healthcare organization registered as a general practice in Indian River, Michigan and active in the NPI registry since September 2012. The organization holds 3 active CLIA laboratory certificates and lists Ellen O Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053661231
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Location Address3860 S STRAITS HWYIndian River, MI 49749
Mailing Address271 Mccoy Rd WGaylord, MI 49735-8253 · (989) 731-7777 · Fax (989) 731-7776
Phone(231) 238-0581
Fax(231) 238-0856
Organization SubpartNo
Authorized OfficialEllen O SmithCeo · (989) 731-2230
Enumeration DateSeptember 14, 2012
Last NPPES UpdateOctober 18, 20224 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1053661231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3860 S STRAITS HWY, Indian River, MI 49749
Open in Google Maps ↗

Other Names 2

Doing Business AsMunson Healthcare Omh Medical Group-indian River
Doing Business AsOmh Medical Group - Indian River

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Munson Healthcare Omh Medical Group-indian River is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

168

Medicare enrollment records show 168 clinicians reassign Medicare billing to Munson Healthcare Omh Medical Group-Indian River, which bills Medicare for the services they deliver. Of these, 6 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner53
Family Practice20
General Surgery15
Obstetrics/Gynecology14
Pediatric Medicine14
Orthopedic Surgery13
Anesthesiology12
Internal Medicine7
11 other specialties20

Nearest to this location (20)

See all 168
Jennifer Atkins, M.D.
Pediatric Medicine
NPI 1518983006
3860 S. STRAITS HIGHWAY
Indian River, MI 49749
(231) 238-0581
✔ PECOSSame address
Michael Katona, NP
Nurse Practitioner
NPI 1174043889
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts MedicareSame address
Sarah Stearns, NP
Nurse Practitioner
NPI 1598146516
3860 S STRAITS HIGHWAY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts MedicareSame address
Michael Florek, D.O.
Family Practice
NPI 1750307443
3696 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts MedicareSame address
Julie Hodson, N.P.
Nurse Practitioner
NPI 1902150741
3696 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts MedicareSame address
Margaret Rorick, FNP-C
Nurse Practitioner
NPI 1699771857
3696 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOSSame address
Marjorie Beigle, AGNP
Nurse Practitioner
NPI 1164206637
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare10 mi
Beth Powers, NP
Nurse Practitioner
NPI 1811279789
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare10 mi
Benjamin Vanos, DO
Family Practice
NPI 1508392614
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare10 mi
Khalil Attie, MD
Emergency Medicine
NPI 1235185901
416 CONNABLE AVENUE ER DEPARTMENT
Petoskey, MI 49770
(231) 487-4000
✔ PECOS✔ Accepts Medicare17 mi
Joshua Saur, D.O.
Family Practice
NPI 1346655149
624 CHARLEVOIX AVE
Petoskey, MI 49770
(231) 347-5155
✔ PECOS✔ Accepts Medicare17 mi
Victoria Buescher
Internal Medicine
NPI 1942837075
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6000
✔ PECOS✔ Accepts Medicare17 mi
Emily Stevens, MD
Urology
NPI 1407483084
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6000
✔ PECOS✔ Accepts Medicare17 mi
Deanna Angers, DO
Obstetrics/Gynecology
NPI 1689163073
560 W MITCHELL ST STE 210
Petoskey, MI 49770
(231) 487-2340
✔ PECOS✔ Accepts Medicare17 mi
Luis Collazo, M.D.
Pediatric Medicine
NPI 1598754715
829 N CENTER AVE SUITE 130
Gaylord, MI 49735
(989) 731-7930
✔ PECOS24 mi
Changxin Li, M.D.
Internal Medicine
NPI 1114958899
829 N CENTER AVE SUITE 140
Gaylord, MI 49735
(989) 731-7870
✔ PECOS✔ Accepts Medicare24 mi
Matthew Ayres, MD
Urology
NPI 1649896317
829 N CENTER AVE STE 260
Gaylord, MI 49735
(989) 731-6405
✔ PECOS✔ Accepts Medicare24 mi
Caleb Alley, DO
General Surgery
NPI 1972132934
829 N CENTER AVE STE 120
Gaylord, MI 49735
(989) 731-7987
✔ PECOS✔ Accepts Medicare24 mi
Alexis Payne, MD
Pediatric Medicine
NPI 1134816424
829 N CENTER AVE STE 130
Gaylord, MI 49735
(989) 731-7930
✔ PECOS24 mi
Jennifer Lawhorn, DO
Hematology/Oncology
NPI 1952564213
701 N OTSEGO AVE
Gaylord, MI 49735
(989) 731-7760
✔ PECOS✔ Accepts Medicare25 mi
See all 168 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2048394

Munson Healthcare Omh Medical Group - Indian River · Indian River, MI
Active · expires Jun 20, 2027
CLIA Number23D2048394
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorBenjamin Vanos
Laboratory Phone(231) 238-0581
Laboratory LocationMunson Healthcare Omh Medical Group - Indian River3860 S Straights Highway, Indian River, MI 49749
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 23D0038025

Munson Healthcare Otsego Memorial Hospital · Gaylord, MI
Active · expires Jan 2, 2027
CLIA Number23D0038025
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. William A. Kanner
Laboratory Phone(989) 731-2183
Laboratory LocationMunson Healthcare Otsego Memorial Hospital825 N Center Avenue, Gaylord, MI 49735
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D1062477

Munson Healthcare Otsego · Gaylord, MI
Active · expires Dec 14, 2026
CLIA Number23D1062477
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorChangxin Li
Laboratory Phone(989) 731-7870
Laboratory LocationMunson Healthcare Otsego829 N Center Ave, Gaylord, MI 49735
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Munson Healthcare Otsego Memorial Hospital's NPI number?

The NPI number for Munson Healthcare Otsego Memorial Hospital is 1053661231. It was assigned to this organization in the NPPES registry on September 14, 2012. The provider is doing business as Munson Healthcare Omh Medical Group-Indian River and OMH Medical Group - Indian River.

Where is Munson Healthcare Otsego Memorial Hospital located?

Munson Healthcare Otsego Memorial Hospital is located at 3860 S Straits Hwy, Indian River, MI 49749. The listed phone number is (231) 238-0581.

What is Munson Healthcare Otsego Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Munson Healthcare Otsego Memorial Hospital enrolled in Medicare?

Yes. Munson Healthcare Otsego Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Munson Healthcare Otsego Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 168 clinicians in 19 Medicare specialties reassign their Medicare billing to Munson Healthcare Otsego Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (53), Family Practice (20) and General Surgery (15). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Munson Healthcare Otsego Memorial Hospital hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Munson Healthcare Otsego Memorial Hospital was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.