MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1093911364
Clinic/Center - Rural Health in Gaylord, MI
About Munson Healthcare Otsego Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL (NPI 1093911364), doing business as Munson Healthcare Omh Walk-in Clinic Rhc, is a healthcare organization registered as a rural health in Gaylord, Michigan and active in the NPI registry since June 2007. The organization lists Michael Frye, Pres Ambulatory & Bus Development, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Munson Healthcare Otsego Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
169Medicare enrollment records show 169 clinicians reassign Medicare billing to Munson Healthcare Otsego Memorial Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 169Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1093911364. It was assigned to this organization in the NPPES registry on June 25, 2007. The provider is doing business as Munson Healthcare OMH Walk-In Clinic RHC and Otsego Memorial Hospital MedCare Rural Health Clinic.
Where is Munson Healthcare Otsego Memorial Hospital located?
Munson Healthcare Otsego Memorial Hospital is located at 1996 Walden Dr, Gaylord, MI 49735. The listed phone number is (989) 731-4111.
What is Munson Healthcare Otsego Memorial Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Munson Healthcare Otsego Memorial Hospital enrolled in Medicare?
Yes. Munson Healthcare Otsego Memorial Hospital is registered in the Medicare PECOS enrollment system.
When is Munson Healthcare Otsego Memorial Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Munson Healthcare Otsego Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 169 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 (54), Family Practice (20) and General Surgery (15). Of these, 1 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Munson Healthcare Otsego Memorial Hospital accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Munson Healthcare Otsego Memorial Hospital 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 Munson Healthcare Otsego Memorial Hospital was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Munson Healthcare Otsego Memorial Hospital · NPI 1093911364
Rural Health organization in Gaylord, Michigan. Organization record, active in the CMS NPPES registry since June 25, 2007.
## Identity
- **NPI:** 1093911364 (Entity type: Organization)
- **Enumerated:** June 25, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Munson Healthcare OMH Walk-In Clinic RHC (Doing Business As); Otsego Memorial Hospital MedCare Rural Health Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Frye, PRES AMBULATORY & BUS DEVELOPMENT
## Practice location
- **Address:** 1996 WALDEN DR, Gaylord, MI 49735
- **Phone:** (989) 731-4111 · **Fax:** (989) 705-8511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 169 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (54), Family Practice (20), General Surgery (15); 1 practice at this address and 32 within 10 miles; [full list](https://npiprofile.com/npi/1093911364/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2026
- **Other identifiers:** Other 23-8606
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Source: [NPI Profile](https://npiprofile.com/npi/1093911364) · Data from the CMS NPPES public registry.