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: July 19, 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
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

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

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.

Radiology (Body Imaging)
14700 LAKE SHORE DRIVE
CHARLEVOIX, MI 49720
Physical Therapist
14700 LAKE SHORE DRIVE, REHAB DEPT
CHARLEVOIX, MI 49720
General Acute Care Hospital (Critical Access)
14700 LAKE SHORE DRIVE
CHARLEVOIX, MI 49720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417033143, enumerated as an "organization" on October 27, 2006.

The provider is located at 14700 LAKE SHORE DRIVE CHARLEVOIX, MI 49720 and the phone number is (231) 547-4024.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.