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MYMICHIGAN MEDICAL CENTER ALMA
NPI 1679506851
Family Medicine in Ithaca, MI

Active since July 09, 2006
820 N PINE RIVER ST, ITHACA, MI 48847(989) 875-3722(989) 875-8903 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 14, 2026, Oct 18, 2022 (2 updates tracked since 2022).

About Mymichigan Medical Center Alma NPPES

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

MYMICHIGAN MEDICAL CENTER ALMA (NPI 1679506851) is a healthcare organization registered as a family medicine in Ithaca, Michigan and active in the NPI registry since July 2006. The organization lists Sarah James, Manager Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1679506851
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMYMICHIGAN MEDICAL CENTER ALMA
Location Address820 N PINE RIVER STIthaca, MI 48847-1118
Mailing Address4000 Wellness DrMidland, MI 48670-0001 · (844) 832-1956 · Fax (989) 633-5241
Phone(989) 875-3722
Fax(989) 875-8903
Organization SubpartYes
Authorized OfficialSarah JamesManager Patient Accounts · (989) 701-4734
Enumeration DateJuly 9, 2006
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1679506851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
820 N PINE RIVER ST, Ithaca, MI 48847
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Other Identifiers 1

Other0B91006MI · Bcbsm Group

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

258

Medicare enrollment records show 258 clinicians reassign Medicare billing to Mymichigan Medical Center Alma, which bills Medicare for the services they deliver. Of these, 53 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Nurse Practitioner64
Family Practice54
Emergency Medicine45
Obstetrics/Gynecology18
Pediatric Medicine15
Clinical Social Worker11
Internal Medicine9
Hematology/Oncology5
24 other specialties37

Nearest to this location (20)

See all 258
Aubree Akers, FNP
Nurse Practitioner
NPI 1982321378
121 N PINE RIVER ST
Ithaca, MI 48847
(989) 875-5111
✔ PECOS✔ Accepts Medicare0.8 mi
Elizabeth Hackert-Neff, MA LPC
Mental Health Counselor
NPI 1528210366
121 N PINE RIVER ST
Ithaca, MI 48847
(989) 875-5111
✔ PECOS✔ Accepts Medicare0.8 mi
Cora Pavlik, FNP
Nurse Practitioner
NPI 1043704133
121 N PINE RIVER ST
Ithaca, MI 48847
(989) 875-5111
✔ PECOS✔ Accepts Medicare0.8 mi
Michael Stack, M.D.
Family Practice
NPI 1932146685
121 N PINE RIVER ST
Ithaca, MI 48847
(989) 875-5111
✔ PECOS✔ Accepts Medicare0.8 mi
Donald Prouty, M.D.
Family Practice
NPI 1194765198
820 N PINE RIVER ST
Ithaca, MI 48847
(989) 875-3722
✔ PECOS✔ Accepts Medicare1.4 mi
Keagan Thomas, DNP, FNP-BC
Nurse Practitioner
NPI 1346842242
614 W SUPERIOR ST
Alma, MI 48801
(989) 463-7181
✔ PECOS✔ Accepts Medicare5.7 mi
Angela Jensen, FNP-BC
Nurse Practitioner
NPI 1518441526
1910 PINE AVE
Alma, MI 48801
(989) 463-3101
✔ PECOS✔ Accepts Medicare6.3 mi
Charles Holmes, MD
General Practice
NPI 1568488054
1335 PINE AVE
Alma, MI 48801
(989) 463-2181
✔ PECOS✔ Accepts Medicare6.5 mi
Zahraa Kassem, M.D.
Pediatric Medicine
NPI 1649954702
315 E WARWICK DR
Alma, MI 48801
(989) 837-9250
✔ PECOS6.7 mi
Maxim Kostyk, DO
Internal Medicine
NPI 1316688542
315 E WARWICK DR STE A
Alma, MI 48801
(989) 463-2333
✔ PECOS6.7 mi
Dipsal Timila
Pediatric Medicine
NPI 1790465987
315 E WARWICK DR STE D
Alma, MI 48801
(989) 466-7285
✔ PECOS6.7 mi
Michael Rodriguez, MD
Sports Medicine
NPI 1669032256
315 E WARWICK DR STE A&B
Alma, MI 48801
(989) 463-2333
✔ PECOS✔ Accepts Medicare6.7 mi
Jenna Bernson, MD
Family Practice
NPI 1972128619
330 E WARWICK DR
Alma, MI 48801
(989) 629-8140
✔ PECOS✔ Accepts Medicare6.7 mi
Jolene Bielicki, LMSW
Clinical Social Worker
NPI 1659915148
330 E WARWICK DR
Alma, MI 48801
(989) 629-8140
✔ PECOS✔ Accepts Medicare6.7 mi
George Elliott, MD
Emergency Medicine
NPI 1558397638
300 E WARWICK DR
Alma, MI 48801
(989) 331-7940
✔ PECOS✔ Accepts Medicare6.7 mi
Mohamed Akkad, M.D.
Hematology/Oncology
NPI 1710299557
315 E WARWICK DR
Alma, MI 48801
(989) 463-9307
✔ PECOS✔ Accepts Medicare6.7 mi
Jessica Green
Obstetrics/Gynecology
NPI 1215352901
315 E WARWICK DR STE D
Alma, MI 48801
(989) 466-5486
✔ PECOS✔ Accepts Medicare6.7 mi
James Ware, D.O.
Orthopedic Surgery
NPI 1063449650
315 E WARWICK DR SUITE B
Alma, MI 48801
(989) 463-2333
✔ PECOS✔ Accepts Medicare6.7 mi
Radwan Alkiek, M.D.
Cardiovascular Disease (Cardiology)
NPI 1548237787
160 E WARWICK DR
Alma, MI 48801
(855) 466-3621
✔ PECOS✔ Accepts Medicare6.8 mi
Stephanie Goggin, MD
Physical Medicine and Rehabilitation
NPI 1639699606
160 E WARWICK DR
Alma, MI 48801
(989) 463-1101
✔ PECOS✔ Accepts Medicare6.8 mi
See all 258 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 Mymichigan Medical Center Alma's NPI number?

The NPI number for Mymichigan Medical Center Alma is 1679506851. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Mymichigan Medical Center Alma located?

Mymichigan Medical Center Alma is located at 820 N Pine River St, Ithaca, MI 48847. The listed phone number is (989) 875-3722.

What is Mymichigan Medical Center Alma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mymichigan Medical Center Alma enrolled in Medicare?

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

How many clinicians bill Medicare through Mymichigan Medical Center Alma?

According to the CMS Revalidation Reassignment List (October 2026 release), 258 clinicians in 32 Medicare specialties reassign their Medicare billing to Mymichigan Medical Center Alma. 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 (64), Family Practice (54) and Emergency Medicine (45). Of these, 53 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mymichigan Medical Center Alma was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.