MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1285867838
Clinic/Center - Rural Health in Lewiston, MI

Active since August 31, 2009
3040 BOURN ST, LEWISTON, MI 49756(989) 786-4877(989) 786-2187 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, Oct 4, 2024, Sep 16, 2024 and 3 more (6 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 1285867838), doing business as Munson Healthcare Omh Medical Group-lewiston Rhc, is a healthcare organization registered as a rural health in Lewiston, Michigan and active in the NPI registry since August 2009. The organization lists Michael Frye, Pres Ambulatory & Bus Development, as its authorized official.

NPPES Registry Identity

NPI1285867838
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Location Address3040 BOURN STLewiston, MI 49756
Mailing Address829 N Center AveGaylord, MI 49735-1595 · (989) 731-2100 · Fax (989) 731-7929
Fax(989) 786-2187
Organization SubpartNo
Authorized OfficialMichael FryePres Ambulatory & Bus Development · (704) 458-8010
Enumeration DateAugust 31, 2009
Last NPPES UpdateApril 17, 20266 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1285867838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedGeneral Acute Care Hospital · RuralTaxonomy 282NR1301X · License 238620 (MI)
3040 BOURN ST, Lewiston, MI 49756

Other Names 2

Doing Business AsMunson Healthcare Omh Medical Group-lewiston Rhc
Doing Business AsOmh Medical Group Lewiston Rhc

Other Identifiers 1

Other238620Cms Certification Number

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, 6 practice at this address. 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 1295383008
3040 BOURN ST
Lewiston, MI 49756
(989) 786-4877
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1487036513
3040 BOURN ST
Lewiston, MI 49756
(989) 786-4877
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265774269
3040 BOURN ST
Lewiston, MI 49756
(989) 786-4877
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1992778807
3040 BOURN ST
Lewiston, MI 49756
(989) 786-4877
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043767395
3040 BOURN ST
Lewiston, MI 49756
(989) 786-4877
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1649652298
3040 BOURN ST
Lewiston, MI 49756
(989) 786-4877
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598063299
11899 M 32
Atlanta, MI 49709
(989) 785-4855
✔ PECOS✔ Accepts Medicare11 mi
Orthopedic Surgery
NPI 1689202731
2147 PROFESSIONAL DR
Gaylord, MI 49735
(989) 732-1753
✔ PECOS18 mi
Orthopedic Surgery
NPI 1427033976
2147 PROFESSIONAL DR
Gaylord, MI 49735
(989) 732-1753
✔ PECOS✔ Accepts Medicare18 mi
Internal Medicine
NPI 1376719781
829 N CENTER AVE SUITE 140
Gaylord, MI 49735
(989) 731-7870
✔ PECOS✔ Accepts Medicare18 mi
Obstetrics/Gynecology
NPI 1700806882
829 N CENTER AVE SUITE 200
Gaylord, MI 49735
(989) 731-2105
✔ PECOS18 mi
Urology
NPI 1609883842
829 N CENTER AVE SUITE 160
Gaylord, MI 49735
(989) 731-7131
✔ PECOS18 mi
General Surgery
NPI 1053373118
829 N CENTER AVE SUITE 120
Gaylord, MI 49735
(989) 731-7987
✔ PECOS18 mi
Nurse Practitioner
NPI 1225055833
829 N CENTER AVE SUITE 210
Gaylord, MI 49735
(989) 731-7860
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1740591908
829 N CENTER AVE STE 210
Gaylord, MI 49735
(989) 731-7860
✔ PECOS18 mi
Family Practice
NPI 1013153063
1996 WALDEN DR
Gaylord, MI 49735
(989) 731-4111
✔ PECOS✔ Accepts Medicare20 mi
Hematology/Oncology
NPI 1952564213
701 N OTSEGO AVE
Gaylord, MI 49735
(989) 731-7760
✔ PECOS✔ Accepts Medicare21 mi
Urology
NPI 1649896317
829 N CENTER AVE STE 260
Gaylord, MI 49735
(989) 731-6405
✔ PECOS✔ Accepts Medicare21 mi
General Surgery
NPI 1972132934
829 N CENTER AVE STE 120
Gaylord, MI 49735
(989) 731-7987
✔ PECOS✔ Accepts Medicare21 mi
Pediatric Medicine
NPI 1134816424
829 N CENTER AVE STE 130
Gaylord, MI 49735
(989) 731-7930
✔ PECOS21 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 1285867838. It was assigned to this organization in the NPPES registry on August 31, 2009. The provider is doing business as Munson Healthcare OMH Medical Group-Lewiston RHC and OMH Medical Group Lewiston RHC.

Where is Munson Healthcare Otsego Memorial Hospital located?

Munson Healthcare Otsego Memorial Hospital is located at 3040 Bourn St, Lewiston, MI 49756. The listed phone number is (989) 786-4877.

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.

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, 6 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 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.