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MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
NPI 1609477488
Urology in Charlevoix, MI

Active since November 06, 2020
11695 PARK AVE, SUITE A, CHARLEVOIX, MI 49720(231) 487-2270(231) 487-6168 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2026, Oct 2, 2024, Nov 6, 2020 (3 updates tracked since 2020).

About Munson Healthcare Charlevoix Hospital NPPES

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

MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (NPI 1609477488), doing business as Munson Healthcare Charlevoix Urology, is a healthcare organization registered as an urology in Charlevoix, Michigan and active in the NPI registry since November 2020. The organization maintains a secondary practice location in Petoskey and lists Michael Frye, Pres. Ambulatory & Bus. Development, as its authorized official.

NPPES Registry Identity

NPI1609477488
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Location Address11695 PARK AVE, SUITE ACharlevoix, MI 49720
Mailing Address11695 Park Ave, Suite ACharlevoix, MI 49720 · (231) 487-2270 · Fax (231) 487-6168
Phone(231) 487-2270
Fax(231) 487-6168
Organization SubpartYes
Authorized OfficialMichael FryePres. Ambulatory & Bus. Development · (704) 458-8010
Enumeration DateNovember 6, 2020
Last NPPES UpdateApril 24, 20263 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1609477488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
11695 PARK AVE, Charlevoix, MI 49720
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Other Names 1

Doing Business AsMunson Healthcare Charlevoix Urology

Secondary Practice Location 1

Location 1405 N Division Rd Ste 2Petoskey, MI 49770-9046 · Phone (231) 487-2270 · Fax (231) 487-6168

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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, revalidation 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).

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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20071011000237Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to Munson Healthcare Charlevoix Hospital, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Obstetrics/Gynecology11
General Surgery8
Orthopedic Surgery5
Urology4
Nurse Practitioner3
Hand Surgery2
Family Practice1
Plastic and Reconstructive Surgery1

Nearest to this location (20)

See all 35
Caitlyn Monks
Obstetrics/Gynecology
NPI 1558710590
14651 W UPRIGHT ST
Charlevoix, MI 49720
(231) 547-4477
✔ PECOS✔ Accepts Medicare0.1 mi
Gregory Mcbride, D.O
General Surgery
NPI 1134440845
14695 PARK AVE
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS✔ Accepts Medicare0.2 mi
Barrett Kielhorn, D.O.
General Surgery
NPI 1750720132
14695 PARK AVE
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS✔ Accepts Medicare0.2 mi
Marc Lame, M.D.
General Surgery
NPI 1902833163
14695 PARK AVE
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS0.2 mi
James Jeakle, M.D.
Obstetrics/Gynecology
NPI 1962595777
14700 PARK AVE
Charlevoix, MI 49720
(231) 547-4477
✔ PECOS✔ Accepts Medicare0.2 mi
Roger Maillefer, M.D.
General Surgery
NPI 1558373696
14695 PARK AVE STE A
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS✔ Accepts Medicare0.3 mi
Melodie Brown, M.D.
Family Practice
NPI 1659363299
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6000
✔ PECOS✔ Accepts Medicare15 mi
Emily Stevens, MD
Urology
NPI 1407483084
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
Jean Mcdonough, F.N.P.
Nurse Practitioner
NPI 1295035244
3434 M 119 SUITE C
Harbor Springs, MI 49740
(231) 348-9900
✔ PECOS✔ Accepts Medicare16 mi
Kendra Johnson, D.O.
Obstetrics/Gynecology
NPI 1205060761
829 N CENTER AVE STE 200
Gaylord, MI 49735
(989) 731-2105
✔ PECOS✔ Accepts Medicare35 mi
Matthew Ayres, MD
Urology
NPI 1649896317
829 N CENTER AVE STE 260
Gaylord, MI 49735
(989) 731-6405
✔ PECOS✔ Accepts Medicare35 mi
Marjorie Beigle, AGNP
Nurse Practitioner
NPI 1164206637
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare37 mi
Sean Beyer, DO
Orthopedic Surgery
NPI 1689202731
2147 PROFESSIONAL DR
Gaylord, MI 49735
(989) 732-1753
✔ PECOS38 mi
Christopher Bobbitt, MD
Hand Surgery
NPI 1659728970
701 W FRONT ST STE 100
Traverse City, MI 49684
(231) 935-0800
✔ PECOS✔ Accepts Medicare42 mi
Marek Hansdorfer, MD, MS
Plastic and Reconstructive Surgery
NPI 1467846006
701 W FRONT ST
Traverse City, MI 49684
(231) 935-0800
✔ PECOS✔ Accepts Medicare42 mi
Michael Morris, MD
Hand Surgery
NPI 1942564489
701 W FRONT ST STE 100
Traverse City, MI 49684
(231) 935-0800
✔ PECOS✔ Accepts Medicare42 mi
David Noble, MD
Orthopedic Surgery
NPI 1821588153
701 W FRONT ST STE 100
Traverse City, MI 49684
(231) 935-0800
✔ PECOS✔ Accepts Medicare42 mi
Matthew Dubiel, M.D.
Orthopedic Surgery
NPI 1114280898
3537 W FRONT ST STE E
Traverse City, MI 49684
(231) 935-5880
✔ PECOS✔ Accepts Medicare42 mi
Diana Novak, MD
Obstetrics/Gynecology
NPI 1053362186
3960 W ROYAL DR
Traverse City, MI 49684
(231) 947-0404
✔ PECOS42 mi
See all 35 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 1609477488. It was assigned to this organization in the NPPES registry on November 6, 2020. The provider is doing business as Munson Healthcare Charlevoix Urology.

Where is Munson Healthcare Charlevoix Hospital located?

Munson Healthcare Charlevoix Hospital is located at 11695 Park Ave Suite A, Charlevoix, MI 49720. The listed phone number is (231) 487-2270.

What is Munson Healthcare Charlevoix Hospital's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Munson Healthcare Charlevoix Hospital enrolled in Medicare?

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

When is Munson Healthcare Charlevoix 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 Charlevoix Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 8 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 Obstetrics/Gynecology (11), General Surgery (8) and Orthopedic Surgery (5). Of these, 6 practice 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 24, 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.