MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1639420557
Clinic/Center - Rural Health in Indian River, MI

Active since October 02, 2012
3860 S STRAITS HWY, INDIAN RIVER, MI 49749(231) 238-0581(231) 238-0586 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2026, Oct 4, 2024, Sep 16, 2024 and 3 more (6 updates tracked since 2015).

About Munson Healthcare Otsego Memorial Hospital NPPES

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

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL (NPI 1639420557), doing business as Munson Healthcare Omh Medical Group-indian River Rhc, is a healthcare organization registered as a rural health in Indian River, Michigan and active in the NPI registry since October 2012. The organization lists Michael Frye, Pres Ambulatory & Bus Development, as its authorized official.

NPPES Registry Identity

NPI1639420557
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Location Address3860 S STRAITS HWYIndian River, MI 49749
Mailing Address271 Mccoy Rd WGaylord, MI 49735-8253 · (989) 731-7777 · Fax (989) 731-7776
Fax(231) 238-0586
Organization SubpartNo
Authorized OfficialMichael FryePres Ambulatory & Bus Development · (704) 458-8010
Enumeration DateOctober 2, 2012
Last NPPES UpdateApril 17, 20266 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1639420557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedGeneral Acute Care Hospital · RuralTaxonomy 282NR1301X
3860 S STRAITS HWY, Indian River, MI 49749

Other Names 2

Doing Business AsMunson Healthcare Omh Medical Group-indian River Rhc
Doing Business AsOmh Medical Group - Indian River Rhc

Other Identifiers 1

Other23-8660MI · Medicare Oscar/certification 2

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Munson Healthcare Otsego Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

168

Medicare enrollment records show 168 clinicians reassign Medicare billing to Munson Healthcare Otsego Memorial Hospital, which bills Medicare for the services they deliver. Of these, 4 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner53
Family Practice20
General Surgery15
Obstetrics/Gynecology14
Pediatric Medicine14
Orthopedic Surgery13
Anesthesiology12
Internal Medicine7
11 other specialties20

Nearest to this location (20)

See all 168
Nurse Practitioner
NPI 1164206637
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811279789
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700524303
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1508392614
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700582673
740 S MAIN ST FL 2
Cheboygan, MI 49721
(231) 627-7118
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1750307443
3696 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1902150741
3696 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1699771857
3696 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS10 mi
Pediatric Medicine
NPI 1518983006
3860 S. STRAITS HIGHWAY
Indian River, MI 49749
(231) 238-0581
✔ PECOS10 mi
Nurse Practitioner
NPI 1174043889
3860 S STRAITS HWY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1598146516
3860 S STRAITS HIGHWAY
Indian River, MI 49749
(231) 238-0581
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1649815366
2325 SUMMIT PARK DR STE 3
Petoskey, MI 49770
(231) 439-5100
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1295035244
3434 M 119 SUITE C
Harbor Springs, MI 49740
(231) 348-9900
✔ PECOS✔ Accepts Medicare22 mi
Emergency Medicine
NPI 1235185901
416 CONNABLE AVENUE ER DEPARTMENT
Petoskey, MI 49770
(231) 487-4000
✔ PECOS✔ Accepts Medicare22 mi
Obstetrics/Gynecology
NPI 1689163073
560 W MITCHELL ST STE 210
Petoskey, MI 49770
(231) 487-2340
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1346655149
624 CHARLEVOIX AVE
Petoskey, MI 49770
(231) 347-5155
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1356892624
624 CHARLEVOIX AVE
Petoskey, MI 49770
(231) 347-5155
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1346625738
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6010
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1942837075
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6000
✔ PECOS✔ Accepts Medicare23 mi
Urology
NPI 1407483084
1619 ANDERSON RD
Petoskey, MI 49770
(231) 417-6000
✔ PECOS✔ Accepts Medicare23 mi
See all 168 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 Otsego Memorial Hospital's NPI number?

The NPI number for Munson Healthcare Otsego Memorial Hospital is 1639420557. It was assigned to this organization in the NPPES registry on October 2, 2012. The provider is doing business as Munson Healthcare OMH Medical Group-Indian River RHC and OMH Medical Group - Indian River RHC.

Where is Munson Healthcare Otsego Memorial Hospital located?

Munson Healthcare Otsego Memorial Hospital is located at 3860 S Straits Hwy, Indian River, MI 49749. The listed phone number is (231) 238-0581.

What is Munson Healthcare Otsego Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Munson Healthcare Otsego Memorial Hospital enrolled in Medicare?

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

How many clinicians bill Medicare through Munson Healthcare Otsego Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 168 clinicians in 19 Medicare specialties reassign 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. The largest specialties are Nurse Practitioner (53), Family Practice (20) and General Surgery (15). Of these, 4 practice at this address. 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 April 17, 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.