NORTHERN ANESTHESIA PROVIDERS PC
NPI 1396834628
Anesthesiology in Petoskey, MI
About Northern Anesthesia Providers Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHERN ANESTHESIA PROVIDERS PC (NPI 1396834628) is a healthcare organization registered as an anesthesiology in Petoskey, Michigan and active in the NPI registry since October 2006. The organization lists Mytch Vanderlooven, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Northern Anesthesia Providers Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
58Medicare enrollment records show 58 clinicians reassign Medicare billing to Northern Anesthesia Providers PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 58Source: 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 Northern Anesthesia Providers PC's NPI number?
The NPI number for Northern Anesthesia Providers PC is 1396834628. It was assigned to this organization in the NPPES registry on October 12, 2006.
Where is Northern Anesthesia Providers PC located?
Northern Anesthesia Providers PC is located at 602 Jackson St, Petoskey, MI 49770. The listed phone number is (231) 348-2795.
What is Northern Anesthesia Providers PC's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Northern Anesthesia Providers PC enrolled in Medicare?
Yes. Northern Anesthesia Providers PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northern Anesthesia Providers PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 58 clinicians in 2 Medicare specialties reassign their Medicare billing to Northern Anesthesia Providers PC. 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) (39) and Anesthesiology (19). Of these, 2 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northern Anesthesia Providers PC accept?
Health plans from Priority Health list Northern Anesthesia Providers PC 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 Northern Anesthesia Providers PC was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Northern Anesthesia Providers Pc · NPI 1396834628
Anesthesiology organization in Petoskey, Michigan. Organization record, active in the CMS NPPES registry since October 12, 2006.
## Identity
- **NPI:** 1396834628 (Entity type: Organization)
- **Enumerated:** October 12, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** Mytch Vanderlooven, OFFICE MANAGER
## Practice location
- **Address:** 602 JACKSON ST, Petoskey, MI 49770-2220
- **Phone:** (231) 348-2795 · **Fax:** (231) 348-2031
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 58 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (39), Anesthesiology (19); 2 practice at this address and 18 within 10 miles; [full list](https://npiprofile.com/npi/1396834628/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2025
- **Other identifiers:** Other 0B46025
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Source: [NPI Profile](https://npiprofile.com/npi/1396834628) · Data from the CMS NPPES public registry.