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NORTHERN MICHIGAN HEART CENTER, PLLC
NPI 1053819623
Internal Medicine - Cardiovascular Disease in Alpena, MI

Active since January 29, 2018
2079 US HIGHWAY 23 S, ALPENA, MI 49707(989) 340-2550(989) 340-2551 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2021, Mar 29, 2021, Mar 13, 2018 and 1 more (4 updates tracked since 2018).

About Northern Michigan Heart Center, Pllc NPPES

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

NORTHERN MICHIGAN HEART CENTER, PLLC (NPI 1053819623) is a healthcare organization registered as a cardiovascular disease in Alpena, Michigan and active in the NPI registry since January 2018. The organization lists Jennifer Marie Mulholland, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053819623
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTHERN MICHIGAN HEART CENTER, PLLC
Location Address2079 US HIGHWAY 23 SAlpena, MI 49707-4524
Mailing Address2079 Us Highway 23 SAlpena, MI 49707-4524 · (989) 340-2550 · Fax (989) 340-2551
Phone(989) 340-2550
Fax(989) 340-2551
Organization SubpartNo
Authorized OfficialJennifer Marie MulhollandOffice Manager · (989) 340-2550
Enumeration DateJanuary 29, 2018
Last NPPES UpdateMay 24, 20214 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1053819623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 4301086730
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedGeneral PracticeTaxonomy 208D00000X
2079 US HIGHWAY 23 S, Alpena, MI 49707
Open in Google Maps ↗

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)

Northern Michigan Heart Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Northern Michigan Heart Center, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Ulysses Walls, MD
Cardiovascular Disease (Cardiology)
NPI 1932101789
2079 US HIGHWAY 23 S
Alpena, MI 49707
(989) 340-2550
✔ PECOS✔ Accepts MedicareSame address
Ronda Dickinson, DNP
Nurse Practitioner
NPI 1902453814
109 S 13TH AVE
Alpena, MI 49707
(989) 356-2400
✔ PECOS1.9 mi
Roberto Corpus, M.D.
Interventional Cardiology
NPI 1417995432
3865 W FRONT ST STE 4AND5
Traverse City, MI 49684
(231) 252-0414
✔ PECOS✔ Accepts Medicare110 mi
Mary Clifton, MD
Internal Medicine
NPI 1255493086
2418 BARSTOW RD
Lansing, MI 48906
(231) 342-6132
✔ PECOS168 mi

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

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 23D2156506

Northern Michigan Heart Center · Alpena, MI
Expired · Oct 18, 2026
CLIA Number23D2156506
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorUlysses C. Walls
Laboratory Phone(989) 340-2550
Laboratory LocationNorthern Michigan Heart Center2079 Us 23 South, Alpena, MI 49707
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Northern Michigan Heart Center, PLLC's NPI number?

The NPI number for Northern Michigan Heart Center, PLLC is 1053819623. It was assigned to this organization in the NPPES registry on January 29, 2018.

Where is Northern Michigan Heart Center, PLLC located?

Northern Michigan Heart Center, PLLC is located at 2079 Us Highway 23 S, Alpena, MI 49707. The listed phone number is (989) 340-2550.

What is Northern Michigan Heart Center, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Northern Michigan Heart Center, PLLC enrolled in Medicare?

Yes. Northern Michigan Heart Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Michigan Heart Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Northern Michigan Heart Center, PLLC, in Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northern Michigan Heart Center, PLLC was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.