MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1124028972
General Acute Care Hospital in Gaylord, MI

Active since July 22, 2005
825 N CENTER AVE, GAYLORD, MI 49735(989) 731-2100(989) 731-2205 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2026, Oct 4, 2024, Aug 16, 2024 and 2 more (5 updates tracked since 2018).

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 1124028972) is a healthcare organization registered as a general acute care hospital in Gaylord, Michigan and active in the NPI registry since July 2005. The organization lists Kirsten Bethany Korth-white, Pres/ceo East Region, as its authorized official.

NPPES Registry Identity

NPI1124028972
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Location Address825 N CENTER AVEGaylord, MI 49735
Mailing Address825 N Center AveGaylord, MI 49735-1592 · (989) 731-2100 · Fax (989) 731-2205
Fax(989) 731-2205
Organization SubpartNo
Authorized OfficialKirsten Bethany Korth-whitePres/ceo East Region · (989) 348-0720
Enumeration DateJuly 22, 2005
Last NPPES UpdateApril 23, 20265 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1124028972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
825 N CENTER AVE, Gaylord, MI 49735

Other Names 1

Doing Business AsMunson Healthcare Otsego Memorial Hospital

Other Identifiers 3

Medicaid1557589MI
Medicaid5171593MI
Other00027MI · Bcbs Of Mi

Accepted Insurance

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 Otsego Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Munson Healthcare Otsego Memorial Hospital, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)55
Anesthesiology8

Nearest to this location (20)

See all 63
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982092565
825 N CENTER AVE
Gaylord, MI 49735
(989) 731-2100
Same address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487753281
825 N CENTER AVE
Gaylord, MI 49735
(989) 731-2100
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225137953
825 N CENTER AVE
Gaylord, MI 49735
(989) 731-2100
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033533427
1100 EAST MICHIGAN AVE MERCY HOSPITAL- GRAYLING
Grayling, MI 49738
(989) 348-5461
✔ Accepts Medicare25 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346839586
1100 E MICHIGAN AVE
Grayling, MI 49738
(989) 348-5461
✔ Accepts Medicare25 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871066183
1100 E MICHIGAN AVE
Grayling, MI 49738
(989) 348-5461
✔ Accepts Medicare25 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659642213
602 JACKSON ST
Petoskey, MI 49770
(231) 348-2795
✔ Accepts Medicare27 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063241230
416 CONNABLE AVE
Petoskey, MI 49770
(231) 348-2795
✔ Accepts Medicare28 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205324795
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ Accepts Medicare32 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679894117
14700 LAKE SHORE DR
Charlevoix, MI 49720
(231) 547-4024
✔ Accepts Medicare35 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922252618
14700 LAKE SHORE DR
Charlevoix, MI 49720
(231) 547-4024
✔ Accepts Medicare35 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225758824
14700 LAKE SHORE DR
Charlevoix, MI 49720
(231) 547-4024
✔ Accepts Medicare35 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396992533
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare52 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073865788
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare52 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1821056219
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare52 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033103874
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare52 mi
Anesthesiology
NPI 1659352235
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ PECOS✔ Accepts Medicare52 mi
Anesthesiology
NPI 1376756643
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ PECOS✔ Accepts Medicare52 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1013233360
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare52 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1578969218
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare52 mi
See all 63 clinicians

Source: 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 1124028972. It was assigned to this organization in the NPPES registry on July 22, 2005.

Where is Munson Healthcare Otsego Memorial Hospital located?

Munson Healthcare Otsego Memorial Hospital is located at 825 N Center Ave, Gaylord, MI 49735. The listed phone number is (989) 731-2100.

What is Munson Healthcare Otsego Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

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), 63 clinicians in 2 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 Certified Registered Nurse Anesthetist (CRNA) (55) and Anesthesiology (8). Of these, 3 practice at this address. 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, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health 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 23, 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.