CENTRAL MICHIGAN UNIVERSITY
NPI 1790058386
Surgery in Mount Pleasant, MI
About Central Michigan University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL MICHIGAN UNIVERSITY (NPI 1790058386) is a healthcare organization registered as a surgery in Mount Pleasant, Michigan and active in the NPI registry since February 2012. The organization lists Kelly J Gronda, Provider Enrollment Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Michigan University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Central Michigan University, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (20)
Mt Pleasant, MI 48859
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 Central Michigan University's NPI number?
The NPI number for Central Michigan University is 1790058386. It was assigned to this organization in the NPPES registry on February 14, 2012.
Where is Central Michigan University located?
Central Michigan University is located at 2981 Health Pkwy Suite B, Mount Pleasant, MI 48858. The listed phone number is (989) 772-6880.
What is Central Michigan University's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Central Michigan University enrolled in Medicare?
Yes. Central Michigan University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central Michigan University?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 6 Medicare specialties reassign their Medicare billing to Central Michigan University. 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 Qualified Audiologist (11), Physical Therapist in Private Practice (4) and Nurse Practitioner (2). Of these, 13 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 Central Michigan University was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Central Michigan University · NPI 1790058386
Surgery organization in Mount Pleasant, Michigan. Organization record, active in the CMS NPPES registry since February 14, 2012.
## Identity
- **NPI:** 1790058386 (Entity type: Organization)
- **Enumerated:** February 14, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Kelly Gronda, PROVIDER ENROLLMENT SPECIALIST
## Practice location
- **Address:** 2981 HEALTH PKWY, SUITE B, Mount Pleasant, MI 48858-9347
- **Phone:** (989) 772-6880 · **Fax:** (989) 772-6817
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Qualified Audiologist (11), Physical Therapist in Private Practice (4), Nurse Practitioner (2); 13 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2014
- **Other identifiers:** Medicare UPIN E85377; Medicare PIN 0C72711 (MI); Medicaid 4337963 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1790058386) · Data from the CMS NPPES public registry.