CHARLEVOIX PHYSICIAN SPECIALISTS, CHARLEVOIX WOMEN'S HEALTHCARE
NPI 1629154307
Otolaryngology in Charlevoix, MI
About Charlevoix Physician Specialists, Charlevoix Women's Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLEVOIX PHYSICIAN SPECIALISTS, CHARLEVOIX WOMEN'S HEALTHCARE (NPI 1629154307) is a healthcare organization registered as an otolaryngology in Charlevoix, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through November 6, 2027 and lists Christine Wilhelm, Chief Operations Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 4
Group Practice 1
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)
Charlevoix Physician Specialists, Charlevoix Women's Healthcare 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
35Medicare enrollment records show 35 clinicians reassign Medicare billing to Charlevoix Physician Specialists, Charlevoix Women's Healthcare, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 35Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D1076179
Munson Healthcare Charlevoix Women's Health · Charlevoix, MIFrequently 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 1629154307. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is doing business as Charlevoix Physician Specialists, Charlevoix Women's Healthcare.
Where is Munson Healthcare Charlevoix Hospital located?
Munson Healthcare Charlevoix Hospital is located at 14651 W. Upright St, Charlevoix, MI 49720. The listed phone number is (231) 582-4477.
What is Munson Healthcare Charlevoix Hospital's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
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, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Munson Healthcare Charlevoix Hospital hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D1076179) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Munson Healthcare Charlevoix Hospital was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Charlevoix Physician Specialists, Charlevoix Women's Healthcare · NPI 1629154307
Otolaryngology organization in Charlevoix, Michigan. Organization record, active in the CMS NPPES registry since October 27, 2006.
## Identity
- **NPI:** 1629154307 (Entity type: Organization)
- **Enumerated:** October 27, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Legal business name:** Munson Healthcare Charlevoix Hospital
- **Organization subpart:** Yes (part of Munson Healthcare Charlevoix Hospital)
- **Authorized official:** Christine Wilhelm, CHIEF OPERATIONS OFFICER
## Practice location
- **Address:** 14651 W. UPRIGHT ST, Charlevoix, MI 49720-1226
- **Phone:** (231) 582-4477 · **Fax:** (231) 547-4753
## 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:** 35 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (11), General Surgery (8), Orthopedic Surgery (5); 1 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1629154307/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2016
- **Other identifiers:** Other 0A51002 (MI); Medicare PIN 0P48530; Medicaid 3196127 (MI); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629154307) · Data from the CMS NPPES public registry.