MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1154112902
Internal Medicine - Nephrology in Petoskey, MI

Active since May 13, 2025
1619 ANDERSON RD, PETOSKEY, MI 49770(231) 417-6000(231) 417-6005 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2026, May 13, 2025 (2 updates tracked since 2025).

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 1154112902), doing business as Mhc Kidney And Hypertension Specialists- Petoskey, is a healthcare organization registered as a nephrology in Petoskey, Michigan and active in the NPI registry since May 2025. The organization lists Michael Frye, Pres Ambulatory & Bus. Development, as its authorized official.

NPPES Registry Identity

NPI1154112902
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Location Address1619 ANDERSON RDPetoskey, MI 49770-9256
Mailing Address1105 Sixth StTraverse City, MI 49684-2386
Fax(231) 417-6005
Organization SubpartNo
Authorized OfficialMichael FryePres Ambulatory & Bus. Development · (704) 458-8010
Enumeration DateMay 13, 2025
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1154112902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1619 ANDERSON RD, Petoskey, MI 49770

Other Names 1

Doing Business AsMhc Kidney And Hypertension Specialists- Petoskey

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

168

Medicare enrollment records show 168 clinicians reassign Medicare billing to Munson Healthcare Otsego Memorial Hospital, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 11 within 10 miles. 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
Nurse Practitioner
NPI 1346625738
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6010
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1942837075
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407322985
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6050
✔ PECOSSame address
Urology
NPI 1407483084
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1346655149
624 CHARLEVOIX AVE
Petoskey, MI 49770
(231) 347-5155
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1356892624
624 CHARLEVOIX AVE
Petoskey, MI 49770
(231) 347-5155
✔ PECOS✔ Accepts Medicare1.2 mi
Obstetrics/Gynecology
NPI 1689163073
560 W MITCHELL ST STE 210
Petoskey, MI 49770
(231) 487-2340
✔ PECOS✔ Accepts Medicare1.3 mi
Emergency Medicine
NPI 1235185901
416 CONNABLE AVENUE ER DEPARTMENT
Petoskey, MI 49770
(231) 487-4000
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1649815366
2325 SUMMIT PARK DR STE 3
Petoskey, MI 49770
(231) 439-5100
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1295035244
3434 M 119 SUITE C
Harbor Springs, MI 49740
(231) 348-9900
✔ PECOS✔ Accepts Medicare5.5 mi
Family Practice
NPI 1386755726
223 N PARK ST
Boyne City, MI 49712
(231) 582-5314
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1447866330
14700 LAKE SHORE DR
Charlevoix, MI 49720
(231) 547-4024
✔ PECOS✔ Accepts Medicare15 mi
General Surgery
NPI 1750720132
14695 PARK AVE
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS✔ Accepts Medicare15 mi
General Surgery
NPI 1902833163
14695 PARK AVE
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS15 mi
General Surgery
NPI 1558373696
14695 PARK AVE STE A
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS✔ Accepts Medicare15 mi
Pediatric Medicine
NPI 1518983006
3860 S. STRAITS HIGHWAY
Indian River, MI 49749
(231) 238-0581
✔ PECOS17 mi
Nurse Practitioner
NPI 1174043889
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1598146516
3860 S STRAITS HIGHWAY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1750307443
3696 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1508392614
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare23 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.

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 1154112902. It was assigned to this organization in the NPPES registry on May 13, 2025. The provider is doing business as MHC Kidney and Hypertension Specialists- Petoskey.

Where is Munson Healthcare Otsego Memorial Hospital located?

Munson Healthcare Otsego Memorial Hospital is located at 1619 Anderson Rd, Petoskey, MI 49770. The listed phone number is (231) 417-6000.

What is Munson Healthcare Otsego Memorial Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

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, 4 practice at this address and 11 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.