MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
NPI 1417033143
Nurse Anesthetist, Certified Registered in Charlevoix, MI

Q: What is Munson Healthcare Charlevoix Hospital's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since October 27, 2006

14700 LAKE SHORE DRIVE, CHARLEVOIX, MI 49720(231) 547-4024(231) 547-8088 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2026, Oct 2, 2024, Mar 17, 2016 (3 updates tracked since 2016).

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About Munson Healthcare Charlevoix Hospital NPPES

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

MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (NPI 1417033143) is a healthcare organization registered as a nurse anesthetist, certified registered in Charlevoix, Michigan and active in the NPI registry since October 2006. The organization lists Michael Frye, Pres. Ambulatory & Bus. Development, as its authorized official.

NPPES Registry Identity

NPI1417033143

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameMUNSON HEALTHCARE CHARLEVOIX HOSPITAL

Location Address14700 LAKE SHORE DRIVECharlevoix, MI 49720-1931

Mailing Address14700 Lake Shore DrCharlevoix, MI 49720-1931 · (231) 547-4024 · Fax (231) 547-8088

Phone(231) 547-4024

Fax(231) 547-8088

Organization SubpartYes

Authorized OfficialMichael FryePres. Ambulatory & Bus. Development · (704) 458-8010

Enumeration DateOctober 27, 2006

Last NPPES UpdateApril 17, 20263 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1417033143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X

Also ListedHospitalistTaxonomy 208M00000X

14700 LAKE SHORE DRIVE, Charlevoix, MI 49720

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Other Names 1

Other NameMulti-specialty Group

Other Identifiers 7

Other1001019MI · Northern Health Plan

Other20139MI · Priority Health Professio

Other700A560010MI · Bcbs Multi Group

OtherCAMI · Jvhl

Other700A560010MI · Bcn Professinal Multi Grp

OtherCD9821Medicare Railroad Group

Other134141100MI · Comp Carrier Us Postal Sv

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHERN RADIOLOGY ASSOCIATES PC

Radiology (Body Imaging)

14700 LAKE SHORE DRIVE
CHARLEVOIX, MI 49720

Charlevoix County (231) 547-4024

MUNSON HEALTHCARE CHARLEVOIX HOSPITAL

General Acute Care Hospital (Critical Access)

14700 LAKE SHORE DRIVE
CHARLEVOIX, MI 49720

Charlevoix County (231) 547-4024

SHANNON KRISTINE PEMBLE

Physical Therapist

14700 LAKE SHORE DRIVE, REHAB DEPT
CHARLEVOIX, MI 49720

Charlevoix County (231) 547-8630

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 Charlevoix Hospital's NPI number?

The NPI number for Munson Healthcare Charlevoix Hospital is 1417033143. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is also known as Multi-Specialty Group.

Where is Munson Healthcare Charlevoix Hospital located?

Munson Healthcare Charlevoix Hospital is located at 14700 Lake Shore Drive, Charlevoix, MI 49720. The listed phone number is (231) 547-4024.

What is Munson Healthcare Charlevoix Hospital's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

What insurance does Munson Healthcare Charlevoix Hospital accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Munson Healthcare Charlevoix 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 Charlevoix 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 4 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.