OTSEGO MEMORIAL EMERGENCY PA'S
NPI 1447468442
Physician Assistant in Gaylord, MI
About Otsego Memorial Emergency Pa's NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OTSEGO MEMORIAL EMERGENCY PA'S (NPI 1447468442) is a healthcare organization registered as a physician assistant in Gaylord, Michigan and active in the NPI registry since May 2007. The organization lists Tom Lemon, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Otsego Memorial Emergency Pa's is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Otsego Memorial Emergency PA's, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 1447468442. It was assigned to this organization in the NPPES registry on May 21, 2007. The provider is also known as Otsego Memorial Emergency Pa's.
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 Physician Assistant with taxonomy code 363A00000X.
Is Munson Healthcare Otsego Memorial Hospital enrolled in Medicare?
Yes. Munson Healthcare Otsego Memorial Hospital is registered in the Medicare PECOS enrollment system.
When is Munson Healthcare Otsego Memorial Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Munson Healthcare Otsego Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns 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. 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 and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Otsego Memorial Emergency Pa's · NPI 1447468442
Physician Assistant organization in Gaylord, Michigan. Organization record, active in the CMS NPPES registry since May 21, 2007.
## Identity
- **NPI:** 1447468442 (Entity type: Organization)
- **Enumerated:** May 21, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Legal business name:** Munson Healthcare Otsego Memorial Hospital
- **Organization subpart:** No
- **Authorized official:** Tom Lemon, CEO
## Practice location
- **Address:** 825 N CENTER AVE, Gaylord, MI 49735
- **Phone:** (989) 731-2100 · **Fax:** (989) 731-2205
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1447468442) · Data from the CMS NPPES public registry.