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MUNSON HEALTHCARE CADILLAC
NPI 1336547041
Surgery in Cadillac, MI

Active since December 11, 2014CLIA Certified · 4 labs
927 S CARMEL ST, CADILLAC, MI 49601(231) 935-6080(231) 935-6081 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Oct 2, 2024, Apr 2, 2024 and 1 more (4 updates tracked since 2022).

About Munson Healthcare Cadillac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUNSON HEALTHCARE CADILLAC (NPI 1336547041), doing business as Munson Healthcare Cadillac Surgical Services, is a healthcare organization registered as a surgery in Cadillac, Michigan and active in the NPI registry since December 2014. The organization holds 4 active CLIA laboratory certificates and lists Michael Frye, Pres. Ambulatory & Bus. Development, as its authorized official.

NPPES Registry Identity

NPI1336547041
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMUNSON HEALTHCARE CADILLAC
Location Address927 S CARMEL STCadillac, MI 49601-2547
Mailing Address1105 Sixth StTraverse City, MI 49684-2300 · (231) 935-5000
Phone(231) 935-6080
Fax(231) 935-6081
Organization SubpartYesParent: Munson Healthcare
Authorized OfficialMichael FryePres. Ambulatory & Bus. Development · (704) 458-8010
Enumeration DateDecember 11, 2014
Last NPPES UpdateApril 21, 20264 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1336547041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
927 S CARMEL ST, Cadillac, MI 49601
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Other Names 1

Doing Business AsMunson Healthcare Cadillac Surgical Services

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 Cadillac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Munson Healthcare Cadillac, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

General Surgery12
Nurse Practitioner2
Critical Care (Intensivists)1

Clinicians, nearest first (15)

Kent Bowden, DO
General Surgery
NPI 1164550372
927 S CARMEL ST
Cadillac, MI 49601
(231) 876-3876
✔ PECOS✔ Accepts MedicareSame address
Timothy Iseri, MD
General Surgery
NPI 1477554277
927 CARMEL ST
Cadillac, MI 49601
(231) 876-3876
✔ PECOS✔ Accepts MedicareSame address
Louis Tegtmeyer, D.O.
General Surgery
NPI 1407834898
927 S CARMEL ST
Cadillac, MI 49601
(231) 876-3876
✔ PECOS✔ Accepts MedicareSame address
Madeline Adams, FNP
Nurse Practitioner
NPI 1417563073
927 S CARMEL ST
Cadillac, MI 49601
(231) 876-3876
✔ PECOS✔ Accepts Medicare0.1 mi
Bobbie Crider, NP
Nurse Practitioner
NPI 1639951866
927 S CARMEL ST
Cadillac, MI 49601
(231) 876-3876
✔ PECOS✔ Accepts Medicare0.1 mi
Benjamin Roose, M.D.
General Surgery
NPI 1609286509
927 S CARMEL ST
Cadillac, MI 49601
(231) 876-3876
✔ PECOS✔ Accepts Medicare0.1 mi
Brandon Keys, MD
General Surgery
NPI 1770836470
1010 W NORTH DOWN RIVER RD
Grayling, MI 49738
(989) 348-0800
✔ PECOS✔ Accepts Medicare45 mi
David Hobbs, M.D.
General Surgery
NPI 1174886279
2431 S M 30 STE 216
West Branch, MI 48661
(989) 343-1134
✔ PECOS✔ Accepts Medicare59 mi
Kegan Rummel, D.O.
General Surgery
NPI 1407239205
230 W OAK ST
Fremont, MI 49412
(231) 924-4200
✔ PECOS✔ Accepts Medicare61 mi
Barrett Kielhorn, D.O.
General Surgery
NPI 1750720132
14695 PARK AVE
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS✔ Accepts Medicare74 mi
Stephanie Markle, D.O
General Surgery
NPI 1992937403
1717 SHAFFER ST
Kalamazoo, MI 49048
(269) 226-5456
✔ PECOS✔ Accepts Medicare134 mi
Allison Vaughan, DO
General Surgery
NPI 1235589227
1234 NAPIER AVE
Saint Joseph, MI 49085
(269) 429-0900
✔ PECOS✔ Accepts Medicare159 mi
Andrew Vaughan, D.O.
Critical Care (Intensivists)
NPI 1932634607
1234 NAPIER AVE
Saint Joseph, MI 49085
(269) 429-0900
✔ PECOS159 mi
Brittany Armstrong, D.O.
General Surgery
NPI 1598205932
1000 HARRINGTON ST
Mount Clemens, MI 48043
(586) 493-8000
✔ PECOS✔ Accepts Medicare170 mi
William Bell, D.O.
General Surgery
NPI 1891880613
905 NORTH MACOMB STREET SUITE 4
Monroe, MI 48162
(734) 242-7212
✔ PECOS✔ Accepts Medicare189 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

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 23D2148136

Munson Healthcare Cadillac Urgent Care · Cadillac, MI
Active · expires May 3, 2028
CLIA Number23D2148136
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorMichael D. Peacock
Laboratory Phone(231) 876-7290
Laboratory LocationMunson Healthcare Cadillac Urgent Care302 Hobart Street, Cadillac, MI 49601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D1017455

Munson Healthcare Cadillac Surgical Services · Cadillac, MI
Active · expires Sep 24, 2027
CLIA Number23D1017455
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorTimothy Iseri
Laboratory Phone(231) 876-3876
Laboratory LocationMunson Healthcare Cadillac Surgical Services927 Carmel Street, Cadillac, MI 49601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 23D0380997

Munson Healthcare Cadillac Hospital Laboratory · Cadillac, MI
Active · expires Jan 2, 2027
CLIA Number23D0380997
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Kyle A. Carr
Laboratory Phone(231) 876-7290
Laboratory LocationMunson Healthcare Cadillac Hospital Laboratory400 Hobart Street, Cadillac, MI 49601
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 23D0894244

Munson Healthcare Cadillac Dba Munson Healthcare Cadillac Hosp Nursing Lab · Cadillac, MI
Active · expires Nov 9, 2026
CLIA Number23D0894244
Laboratory TypeHospital
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorKyle A. Carr
Laboratory Phone(231) 876-7290
Laboratory LocationMunson Healthcare Cadillac Dba Munson Healthcare Cadillac Hosp Nursing Lab400 Hobart Street, Cadillac, MI 49601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Cadillac's NPI number?

The NPI number for Munson Healthcare Cadillac is 1336547041. It was assigned to this organization in the NPPES registry on December 11, 2014. The provider is doing business as Munson Healthcare Cadillac Surgical Services.

Where is Munson Healthcare Cadillac located?

Munson Healthcare Cadillac is located at 927 S Carmel St, Cadillac, MI 49601. The listed phone number is (231) 935-6080.

What is Munson Healthcare Cadillac's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Munson Healthcare Cadillac enrolled in Medicare?

Yes. Munson Healthcare Cadillac is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Munson Healthcare Cadillac?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Munson Healthcare Cadillac. 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 General Surgery (12), Nurse Practitioner (2) and Critical Care (Intensivists) (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Munson Healthcare Cadillac hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Munson Healthcare Cadillac accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Munson Healthcare Cadillac 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 Cadillac was last updated on April 21, 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.