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

Active since January 29, 2018CLIA 23D2156506 · Waiver
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: August 02, 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 holds a CLIA Waiver certificate valid through October 18, 2026 and 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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
Active · expires 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAN SOO BAE PLLC
Otolaryngology
2079 US HIGHWAY 23 S
ALPENA, MI 49707
Alpena County (989) 354-2191
G DONALD OHMART
Audiologist-Hearing Aid Fitter
2079 US HIGHWAY 23 S
ALPENA, MI 49707
Alpena County (989) 354-4289
G DONALD OHMART MD PC
Otolaryngology
2079 US HIGHWAY 23 S
ALPENA, MI 49707
Alpena County (989) 354-2191
DR. ULYSSES C WALLS MD
Internal Medicine (Cardiovascular Disease)
2079 US HIGHWAY 23 S
ALPENA, MI 49707
Alpena County (989) 340-2550

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.

Does Northern Michigan Heart Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2156506) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northern Michigan Heart Center, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Northern Michigan Heart Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.