MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Medicare Clinicians for 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

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).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Munson Healthcare Charlevoix Hospital in Charlevoix, MI bills Medicare for 35 clinicians across 8 Medicare specialties. The largest specialties are Obstetrics/Gynecology with 11, General Surgery with 8 and Orthopedic Surgery with 5. Of these, 6 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

35Clinicians
8Medicare specialties
35PECOS enrolled
31Accept Medicare
35 clinicians in 8 specialties

Obstetrics/Gynecology (11)

Obstetrics/Gynecology
NPI 1558710590
14651 W UPRIGHT ST
Charlevoix, MI 49720
(231) 547-4477
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1962595777
14700 PARK AVE
Charlevoix, MI 49720
(231) 547-4477
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1689163073
560 W MITCHELL ST STE 210
Petoskey, MI 49770
(231) 487-2340
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1205060761
829 N CENTER AVE STE 200
Gaylord, MI 49735
(989) 731-2105
✔ PECOS✔ Accepts Medicare35 mi
Obstetrics/Gynecology
NPI 1053362186
3960 W ROYAL DR
Traverse City, MI 49684
(231) 947-0404
✔ PECOS42 mi
Obstetrics/Gynecology
NPI 1457702359
1250 E MICHIGAN AVE STE C
Grayling, MI 49738
(989) 348-0550
✔ PECOS✔ Accepts Medicare52 mi
Obstetrics/Gynecology
NPI 1609955400
1293 E PARKDALE AVE SUITE 1200A
Manistee, MI 49660
(231) 398-1550
✔ PECOS✔ Accepts Medicare87 mi
Obstetrics/Gynecology
NPI 1225053366
1293 E PARKDALE AVE
Manistee, MI 49660
(231) 398-1550
✔ PECOS✔ Accepts Medicare87 mi
Obstetrics/Gynecology
NPI 1679921498
1000 HOUGHTON AVE OBSTETRICS AND GYNECOLOGY
Saginaw, MI 48602
(989) 583-6800
✔ PECOS✔ Accepts Medicare146 mi
Obstetrics/Gynecology
NPI 1265554216
17940 FARMINGTON ROAD
Livonia, MI 48152
(248) 423-2410
✔ PECOS✔ Accepts Medicare221 mi
Obstetrics/Gynecology
NPI 1518329317
8340 LAKEWOOD RANCH BLVD STE 240
Lakewood Ranch, FL 34202
(941) 907-3008
✔ PECOS✔ Accepts Medicare1,246 mi

General Surgery (8)

General Surgery
NPI 1134440845
14695 PARK AVE
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1750720132
14695 PARK AVE
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1902833163
14695 PARK AVE
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS0.2 mi
General Surgery
NPI 1558373696
14695 PARK AVE STE A
Charlevoix, MI 49720
(231) 547-2812
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1366962128
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare171 mi
General Surgery
NPI 1093796476
G1075 N BALLENGER HWY
Flint, MI 48504
(810) 238-1118
✔ PECOS✔ Accepts Medicare175 mi
General Surgery
NPI 1992937403
1717 SHAFFER ST
Kalamazoo, MI 49048
(269) 226-5456
✔ PECOS✔ Accepts Medicare208 mi
General Surgery
NPI 1578883609
50 N PERRY ST
Pontiac, MI 48342
(248) 338-5000
✔ PECOS✔ Accepts Medicare210 mi

Orthopedic Surgery (5)

Orthopedic Surgery
NPI 1689202731
2147 PROFESSIONAL DR
Gaylord, MI 49735
(989) 732-1753
✔ PECOS38 mi
Orthopedic Surgery
NPI 1821588153
701 W FRONT ST STE 100
Traverse City, MI 49684
(231) 935-0800
✔ PECOS✔ Accepts Medicare42 mi
Orthopedic Surgery
NPI 1114280898
3537 W FRONT ST STE E
Traverse City, MI 49684
(231) 935-5880
✔ PECOS✔ Accepts Medicare42 mi
Orthopedic Surgery
NPI 1689106270
15100 WHITTAKER WAY
Grand Haven, MI 49417
(616) 935-6260
✔ PECOS✔ Accepts Medicare164 mi
Orthopedic Surgery
NPI 1417243528
819 N SHIAWASSEE ST STE 200
Owosso, MI 48867
(989) 541-2663
✔ PECOS✔ Accepts Medicare170 mi

Urology (4)

Urology
NPI 1407483084
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6000
✔ PECOS✔ Accepts Medicare15 mi
Urology
NPI 1649896317
829 N CENTER AVE STE 260
Gaylord, MI 49735
(989) 731-6405
✔ PECOS✔ Accepts Medicare35 mi
Urology
NPI 1194779983
150 S EAST AVE
Jackson, MI 49201
(517) 205-2146
✔ PECOS✔ Accepts Medicare218 mi
Urology
NPI 1114459476
1000 HARRINGTON ST
Mount Clemens, MI 48043
(586) 493-8000
✔ PECOS✔ Accepts Medicare222 mi

Nurse Practitioner (3)

Nurse Practitioner
NPI 1295035244
3434 M 119 SUITE C
Harbor Springs, MI 49740
(231) 348-9900
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1164206637
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1699155671
1200 E MICHIGAN AVE STE 445
Lansing, MI 48912
(517) 364-5210
✔ PECOS182 mi

Hand Surgery (2)

Hand Surgery
NPI 1659728970
701 W FRONT ST STE 100
Traverse City, MI 49684
(231) 935-0800
✔ PECOS✔ Accepts Medicare42 mi
Hand Surgery
NPI 1942564489
701 W FRONT ST STE 100
Traverse City, MI 49684
(231) 935-0800
✔ PECOS✔ Accepts Medicare42 mi

Family Practice (1)

Family Practice
NPI 1659363299
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6000
✔ PECOS✔ Accepts Medicare15 mi

Plastic and Reconstructive Surgery (1)

Plastic and Reconstructive Surgery
NPI 1467846006
701 W FRONT ST
Traverse City, MI 49684
(231) 935-0800
✔ PECOS✔ Accepts Medicare42 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Munson Healthcare Charlevoix Hospital appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.