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

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: October 18, 2026.

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

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 ›

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

Clinicians Billing Medicare Through This Organization

96

Medicare enrollment records show 96 clinicians reassign Medicare billing to Munson Healthcare Charlevoix Hospital, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Certified Registered Nurse Anesthetist (CRNA)30
Nurse Practitioner15
Family Practice10
Pediatric Medicine9
Psychiatry7
Cardiovascular Disease (Cardiology)5
Interventional Cardiology4
General Surgery3
9 other specialties13

Nearest to this location (20)

See all 96
Jennifer Simons, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679894117
14700 LAKE SHORE DR
Charlevoix, MI 49720
(231) 547-4024
✔ Accepts MedicareSame address
Jennifer Armstrong, NP-C
Nurse Practitioner
NPI 1447866330
14700 LAKE SHORE DR
Charlevoix, MI 49720
(231) 547-4024
✔ PECOS✔ Accepts MedicareSame address
Nathan Boss, M.D.
Pulmonary Disease
NPI 1699794958
14700 LAKE SHORE DR
Charlevoix, MI 49720
(231) 547-3124
✔ PECOS✔ Accepts MedicareSame address
Denise Montgomery, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922252618
14700 LAKE SHORE DR
Charlevoix, MI 49720
(231) 547-4024
✔ Accepts MedicareSame address
Madeline Nemes, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972254134
14700 LAKE SHORE DR
Charlevoix, MI 49720
(231) 547-4024
✔ Accepts MedicareSame address
Mark Vanderweide, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225758824
14700 LAKE SHORE DR
Charlevoix, MI 49720
(231) 547-4024
✔ Accepts MedicareSame address
Megan Coggon, M.D.
Pediatric Medicine
NPI 1730594573
14719 W UPRIGHT ST BLDG C
Charlevoix, MI 49720
(231) 547-3840
✔ PECOS0.2 mi
Lori Katzman, M.D.
Psychiatry
NPI 1467516476
14695 PARK AVE
Charlevoix, MI 49720
(231) 547-1252
✔ PECOS0.2 mi
Gregory Mcbride, D.O
General Surgery
NPI 1134440845
14695 PARK AVE
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS✔ Accepts Medicare0.2 mi
Darcie Dohnal, MD
Internal Medicine
NPI 1487800959
14734 PARK AVENUE BLDG A CHARLEVOIX PRIMARY CARE
Charlevoix, MI 49720
(231) 547-6554
✔ PECOS✔ Accepts Medicare0.2 mi
Chris Loewen, M.D.
Family Practice
NPI 1114368321
14734 PARK AVE
Charlevoix, MI 49720
(231) 547-6554
✔ PECOS✔ Accepts Medicare0.2 mi
Anna Young, M.D.
Family Practice
NPI 1376534495
14705 W UPRIGHT ST
Charlevoix, MI 49720
(231) 547-8777
✔ PECOS0.5 mi
Laura Kitzmiller, M.D.
Pediatric Medicine
NPI 1962728113
14719 W UPRIGHT ST
Charlevoix, MI 49720
(231) 547-3840
✔ PECOS0.5 mi
Benjamin Edwards, MD
Family Practice
NPI 1548606916
14709 W UPRIGHT ST
Charlevoix, MI 49720
(231) 547-6519
✔ PECOS✔ Accepts Medicare4.0 mi
Jayme Larson, MSN, FNP-BC
Nurse Practitioner
NPI 1366256257
4060 STUMP RD
Petoskey, MI 49770
(231) 944-6099
✔ PECOS✔ Accepts Medicare12 mi
Dale Owen, MD
Psychiatry
NPI 1295803138
1420 PLAZA DR
Petoskey, MI 49770
(231) 347-6701
✔ PECOS15 mi
Melodie Brown, M.D.
Family Practice
NPI 1659363299
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6000
✔ PECOS✔ Accepts Medicare15 mi
Deanna Angers, DO
Obstetrics/Gynecology
NPI 1689163073
560 W MITCHELL ST STE 210
Petoskey, MI 49770
(231) 487-2340
✔ PECOS✔ Accepts Medicare15 mi
Mark Rothman, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659642213
602 JACKSON ST
Petoskey, MI 49770
(231) 348-2795
✔ Accepts Medicare15 mi
Michael Lucido, LLP
Clinical Psychologist
NPI 1760623433
1 MACDONALD DR STE B
Petoskey, MI 49770
(231) 347-6701
✔ PECOS✔ Accepts Medicare17 mi
See all 96 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 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.

Is Munson Healthcare Charlevoix Hospital enrolled in Medicare?

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

How many clinicians bill Medicare through Munson Healthcare Charlevoix Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 96 clinicians in 17 Medicare specialties reassign their Medicare billing to Munson Healthcare Charlevoix 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) (30), Nurse Practitioner (15) and Family Practice (10). Of these, 6 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.