OTSEGO MEMORIAL HOSPITAL CRNA
NPI 1376568865
Nurse Anesthetist, Certified Registered in Gaylord, MI

Active since July 13, 2006
825 N CENTER AVE, GAYLORD, MI 49735(989) 731-2100(989) 731-2205 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2021, Aug 22, 2018 (2 updates tracked since 2018).

About Otsego Memorial Hospital Crna NPPES

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

OTSEGO MEMORIAL HOSPITAL CRNA (NPI 1376568865) is a healthcare organization registered as a nurse anesthetist, certified registered in Gaylord, Michigan and active in the NPI registry since July 2006. The organization lists Alicia Maitland, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376568865
Entity TypeOrganization
Primary Taxonomy367500000X
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 OfficialAlicia MaitlandCfo · (231) 935-7840
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1376568865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
825 N CENTER AVE, Gaylord, MI 49735

Other Names 1

Other NameOtsego Memorial Hospital Crna

Other Identifiers 1

Other430F910100MI · Bs

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)

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

Clinicians Billing Medicare Through This Organization

227

Medicare enrollment records show 227 clinicians reassign Medicare billing to Otsego Memorial Hospital Crna, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Certified Registered Nurse Anesthetist (CRNA)55
Nurse Practitioner53
Family Practice20
Anesthesiology17
General Surgery15
Obstetrics/Gynecology14
Pediatric Medicine14
Orthopedic Surgery13
11 other specialties26

Nearest to this location (20)

See all 227
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
Family Practice
NPI 1811155112
825 N CENTER AVE
Gaylord, MI 49735
(989) 731-7996
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548852130
825 N CENTER AVE STE 140
Gaylord, MI 49735
(989) 731-7777
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750911434
825 N CENTER AVE
Gaylord, MI 49735
(989) 731-2100
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225137953
825 N CENTER AVE
Gaylord, MI 49735
(989) 731-2100
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063925246
829 N CENTER AVE STE 210
Gaylord, MI 49735
(989) 731-7860
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1649896317
829 N CENTER AVE STE 260
Gaylord, MI 49735
(989) 731-6405
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1972132934
829 N CENTER AVE STE 120
Gaylord, MI 49735
(989) 731-7987
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083559629
829 N CENTER AVE STE 230
Gaylord, MI 49735
(989) 731-7930
✔ PECOSSame address
Family Practice
NPI 1104305911
829 N CENTER AVE STE 210
Gaylord, MI 49735
(989) 731-7860
✔ PECOSSame address
Pediatric Medicine
NPI 1134816424
829 N CENTER AVE STE 130
Gaylord, MI 49735
(989) 731-7930
✔ PECOSSame address
Nurse Practitioner
NPI 1720417694
829 N CENTER AVE SUITE 200
Gaylord, MI 49735
(989) 731-2105
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1356967715
829 N CENTER AVE STE 210
Gaylord, MI 49735
(989) 731-7860
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1598754715
829 N CENTER AVE SUITE 130
Gaylord, MI 49735
(989) 731-7930
✔ PECOSSame address
Family Practice
NPI 1386386258
829 N CENTER AVE STE 210
Gaylord, MI 49735
(989) 731-7833
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1114958899
829 N CENTER AVE SUITE 140
Gaylord, MI 49735
(989) 731-7870
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508410747
829 N CENTER AVE STE 230
Gaylord, MI 49735
(989) 731-7930
✔ PECOSSame address
Nurse Practitioner
NPI 1972317592
829 N CENTER AVE STE 140
Gaylord, MI 49735
(989) 731-7870
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1104851658
829 N CENTER AVE SUITE 140
Gaylord, MI 49735
(989) 731-7870
✔ PECOS✔ Accepts MedicareSame address
See all 227 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 1376568865. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is also known as Otsego Memorial Hospital Crna.

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 Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

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), 227 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 Certified Registered Nurse Anesthetist (CRNA) (55), Nurse Practitioner (53) and Family Practice (20). Of these, 22 practice at this address and 35 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 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 September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.