MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1821064643
General Practice in Gaylord, MI

Active since February 23, 2006
829 N CENTER AVE, GAYLORD, MI 49735(989) 731-7708(989) 731-7929 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 17, 2026, Jul 1, 2025, Oct 4, 2024 and 3 more (6 updates tracked since 2018).

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 1821064643), doing business as Munson Healthcare Omh Medical Group-gaylord, is a healthcare organization registered as a general practice in Gaylord, Michigan and active in the NPI registry since February 2006. The organization maintains a secondary practice location in Petoskey and lists Michael Frye, Pres. Ambulatory & Bus. Development, as its authorized official.

NPPES Registry Identity

NPI1821064643
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Location Address829 N CENTER AVEGaylord, MI 49735
Mailing Address825 N Center AveGaylord, MI 49735-1592 · (989) 731-7920 · Fax (989) 731-7776
Fax(989) 731-7929
Organization SubpartNo
Authorized OfficialMichael FryePres. Ambulatory & Bus. Development · (704) 458-8010
Enumeration DateFebruary 23, 2006
Last NPPES UpdateApril 17, 20266 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1821064643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
829 N CENTER AVE, Gaylord, MI 49735

Other Names 2

Doing Business AsMunson Healthcare Omh Medical Group-gaylord
Doing Business AsOmh Medical Group

Secondary Practice Location 1

Location 11619 Anderson RdPetoskey, MI 49770-9256 · Phone (231) 417-6000

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

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, 19 practice at this address and 32 within 10 miles. 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
General Surgery
NPI 1972132934
829 N CENTER AVE STE 120
Gaylord, MI 49735
(989) 731-7987
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083559629
829 N CENTER AVE STE 230
Gaylord, MI 49735
(989) 731-7930
✔ PECOSSame address
Family Practice
NPI 1104305911
829 N CENTER AVE STE 210
Gaylord, MI 49735
(989) 731-7860
✔ PECOSSame address
Pediatric Medicine
NPI 1134816424
829 N CENTER AVE STE 130
Gaylord, MI 49735
(989) 731-7930
✔ PECOSSame address
Nurse Practitioner
NPI 1063925246
829 N CENTER AVE STE 210
Gaylord, MI 49735
(989) 731-7860
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1649896317
829 N CENTER AVE STE 260
Gaylord, MI 49735
(989) 731-6405
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720417694
829 N CENTER AVE SUITE 200
Gaylord, MI 49735
(989) 731-2105
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1356967715
829 N CENTER AVE STE 210
Gaylord, MI 49735
(989) 731-7860
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1598754715
829 N CENTER AVE SUITE 130
Gaylord, MI 49735
(989) 731-7930
✔ PECOSSame address
Family Practice
NPI 1386386258
829 N CENTER AVE STE 210
Gaylord, MI 49735
(989) 731-7833
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1114958899
829 N CENTER AVE SUITE 140
Gaylord, MI 49735
(989) 731-7870
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508410747
829 N CENTER AVE STE 230
Gaylord, MI 49735
(989) 731-7930
✔ PECOSSame address
Nurse Practitioner
NPI 1972317592
829 N CENTER AVE STE 140
Gaylord, MI 49735
(989) 731-7870
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952886400
829 N CENTER AVE STE 130
Gaylord, MI 49735
(989) 731-7930
✔ PECOSSame address
Nurse Practitioner
NPI 1518998772
829 N CENTER AVE SUITE 140
Gaylord, MI 49735
(989) 731-7870
✔ PECOSSame address
Internal Medicine
NPI 1104851658
829 N CENTER AVE SUITE 140
Gaylord, MI 49735
(989) 731-7870
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1811155112
825 N CENTER AVE
Gaylord, MI 49735
(989) 731-7996
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548852130
825 N CENTER AVE STE 140
Gaylord, MI 49735
(989) 731-7777
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750911434
825 N CENTER AVE
Gaylord, MI 49735
(989) 731-2100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295598035
701 N OTSEGO AVE
Gaylord, MI 49735
(989) 731-7760
✔ PECOS✔ Accepts Medicare1.0 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 1821064643. It was assigned to this organization in the NPPES registry on February 23, 2006. The provider is doing business as Munson Healthcare OMH Medical Group-Gaylord and Omh Medical Group.

Where is Munson Healthcare Otsego Memorial Hospital located?

Munson Healthcare Otsego Memorial Hospital is located at 829 N Center Ave, Gaylord, MI 49735. The listed phone number is (989) 731-7708.

What is Munson Healthcare Otsego Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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, 19 practice at this address and 32 within 10 miles. 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.