MUNSON MEDICAL CENTER
NPI 1477581759
Nurse Practitioner in Traverse City, MI

Active since June 28, 2006
1105 6TH ST, TRAVERSE CITY, MI 49684(231) 935-5000 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Munson Medical Center NPPES

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

MUNSON MEDICAL CENTER (NPI 1477581759) is a healthcare organization registered as a nurse practitioner in Traverse City, Michigan and active in the NPI registry since June 2006. The organization lists Edward B Carlson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477581759
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMUNSON MEDICAL CENTER
Location Address1105 6TH STTraverse City, MI 49684-2349
Mailing AddressPo Box 1131Traverse City, MI 49685-1131 · (231) 935-5000
Organization SubpartNo
Authorized OfficialEdward B CarlsonCfo · (231) 935-5000
Enumeration DateJune 28, 2006
Last NPPES UpdateMay 30, 2008
✔ NPI 1477581759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1105 6TH ST, Traverse City, MI 49684

Other Identifiers 3

Other500B811000Blue Care Network
Medicare PIN0N70330MI
Other500B811000Blue Shield

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

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)

Munson Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040827000534Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Munson Medical Center, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner11
Hematology/Oncology1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1093157091
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1275975286
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1831521996
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1215308036
217 S MADISON STREET
Traverse City, MI 49684
(231) 392-8400
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1538131396
217 S MADISON ST
Traverse City, MI 49684
(231) 392-8400
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1992749279
217 S MADISON STREET
Traverse City, MI 49684
(231) 392-8400
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1659532034
217 S MADISON ST
Traverse City, MI 49684
(231) 392-8400
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1356353791
217 S MADISON STREET
Traverse City, MI 49684
(231) 922-9270
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1972772259
217 S MADISON STREET
Traverse City, MI 49684
(231) 392-8400
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1629358627
93 W FOURTH ST
Suttons Bay, MI 49682
(231) 271-5990
✔ PECOS16 mi
Nurse Practitioner
NPI 1598155020
400 HOBART ST
Cadillac, MI 49601
(231) 876-6421
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1518923093
61 MEMORIAL MEDICAL PKWY STE 2812
Palm Coast, FL 32164
(386) 586-1860
✔ PECOS✔ Accepts Medicare1,082 mi

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 Medical Center's NPI number?

The NPI number for Munson Medical Center is 1477581759. It was assigned to this organization in the NPPES registry on June 28, 2006.

Where is Munson Medical Center located?

Munson Medical Center is located at 1105 6th St, Traverse City, MI 49684. The listed phone number is (231) 935-5000.

What is Munson Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Munson Medical Center enrolled in Medicare?

Yes. Munson Medical Center is registered in the Medicare PECOS enrollment system.

When is Munson Medical Center'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 February 28, 2027. 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 Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Munson Medical Center. 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 Nurse Practitioner (11) and Hematology/Oncology (1). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Munson Medical Center accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Munson Medical Center 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 Medical Center was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.