1. Home
  2. Directory
  3. Michigan
  4. Manistee
  5. Surgery
  6. NPI Profile

MUNSON HEALTHCARE MANISTEE HOSPITAL
NPI 1861577389
Surgery in Manistee, MI

Active since October 25, 2006
1391 E PARKDALE AVE, MANISTEE, MI 49660(231) 398-1760 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 20, 2026, Oct 4, 2024, Sep 22, 2022 and 2 more (5 updates tracked since 2021).

About Munson Healthcare Manistee Hospital NPPES

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

MUNSON HEALTHCARE MANISTEE HOSPITAL (NPI 1861577389), doing business as West Shore Medical Center, is a healthcare organization registered as a surgery in Manistee, Michigan and active in the NPI registry since October 2006. The organization maintains 3 additional practice locations and lists Michael Frye, Pres. Ambulatory & Bus. Development, as its authorized official.

NPPES Registry Identity

NPI1861577389
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMUNSON HEALTHCARE MANISTEE HOSPITAL
Location Address1391 E PARKDALE AVEManistee, MI 49660-9352
Mailing Address1391 E Parkdale AveManistee, MI 49660-9352 · (231) 398-1760
Phone(231) 398-1760
Organization SubpartNo
Authorized OfficialMichael FryePres. Ambulatory & Bus. Development · (704) 458-8010
Enumeration DateOctober 25, 2006
Last NPPES UpdateApril 20, 20265 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1861577389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301088410 (MI)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
1391 E PARKDALE AVE, Manistee, MI 49660
Open in Google Maps ↗

Other Names 1

Former Legal Business NameWest Shore Medical Center

Secondary Practice Locations 3

Location 11293 E Parkdale AveManistee, MI 49660-8904 · Phone (231) 398-1750 · Fax (231) 398-1749
Location 21345 E Parkdale AveManistee, MI 49660-9318 · Phone (231) 398-1830 · Fax (231) 398-1834
Location 31465 E Parkdale AveManistee, MI 49660-9709 · Phone (231) 398-1675 · Fax (231) 398-1692

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 Manistee Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

55

Medicare enrollment records show 55 clinicians reassign Medicare billing to Munson Healthcare Manistee Hospital, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner16
Orthopedic Surgery7
General Surgery6
Family Practice5
Urology4
Internal Medicine3
Obstetrics/Gynecology3
Psychiatry2
8 other specialties9

Nearest to this location (20)

See all 55
Ruben Barroso, DO
Family Practice
NPI 1922673243
1391 E PARKDALE AVE
Manistee, MI 49660
(231) 398-1878
✔ PECOS✔ Accepts MedicareSame address
Stephanie Fitzgerald, D.O.
Obstetrics/Gynecology
NPI 1609955400
1293 E PARKDALE AVE SUITE 1200A
Manistee, MI 49660
(231) 398-1550
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Foster, NP
Nurse Practitioner
NPI 1306575618
1293 E PARKDALE AVE
Manistee, MI 49660
(231) 398-1780
✔ PECOS✔ Accepts MedicareSame address
Marian Fuller, MD
Obstetrics/Gynecology
NPI 1225053366
1293 E PARKDALE AVE
Manistee, MI 49660
(231) 398-1550
✔ PECOS✔ Accepts MedicareSame address
Tracy Robinson, NP
Nurse Practitioner
NPI 1023529260
1293 E PARKDALE AVE
Manistee, MI 49660
(231) 398-1550
✔ PECOS✔ Accepts MedicareSame address
Charles Vandenberg, D.O.
Internal Medicine
NPI 1750638516
1293 E PARKDALE AVE
Manistee, MI 49660
(231) 398-1840
✔ PECOS✔ Accepts MedicareSame address
Rachel Vandenberg, DO
Family Practice
NPI 1740544873
1293 E PARKDALE AVE
Manistee, MI 49660
(231) 398-1840
✔ PECOS✔ Accepts MedicareSame address
Mark Dangelo, D.O.
Orthopedic Surgery
NPI 1730312240
1345 E PARKDALE AVE
Manistee, MI 49660
(231) 398-1750
✔ PECOS✔ Accepts MedicareSame address
William Weiner, MD
Internal Medicine
NPI 1598782443
1400 E PARKDALE AVE STE: 4
Manistee, MI 49660
(231) 398-1840
✔ PECOS✔ Accepts Medicare0.1 mi
Brian Mccomb, D.O.
Family Practice
NPI 1114901576
1400 E PARKDALE AVE SUITE #4
Manistee, MI 49660
(231) 398-1840
✔ PECOS0.1 mi
Cassandra Guenthardt, NP-C
Nurse Practitioner
NPI 1427729979
1293 E PARKDALE AVE
Manistee, MI 49660
(231) 398-1840
✔ PECOS✔ Accepts Medicare0.1 mi
Mara Mckinley, NP-C
Nurse Practitioner
NPI 1518244912
1465 E. PARKDALE AVE3.
Manistee, MICHIGAN 49660
(231) 398-1590
✔ PECOS1.0 mi
Dawn Madsen, LMSW
Clinical Social Worker
NPI 1275800120
72 FILER ST
Manistee, MI 49660
(231) 397-1903
✔ PECOS2.8 mi
Jacob Deboni, FNP
Nurse Practitioner
NPI 1578036091
72 FILER ST
Manistee, MI 49660
(231) 723-5600
✔ PECOS✔ Accepts Medicare2.8 mi
Ryan Sullivan, MD
Internal Medicine
NPI 1174605653
2198 US HIGHWAY 31 S
Manistee, MI 49660
(231) 723-3567
✔ PECOS✔ Accepts Medicare4.2 mi
Stephanie Mccarthy, FNP
Nurse Practitioner
NPI 1699419960
2127 PAUL ROSE RD
Frankfort, MI 49635
(231) 313-5824
✔ PECOS✔ Accepts Medicare23 mi
Laris Galejs, M.D.
Urology
NPI 1053304600
1011 SUNNYSIDE DR
Cadillac, MI 49601
(231) 779-2565
✔ PECOS✔ Accepts Medicare43 mi
Joseph Ward, MD
Orthopedic Surgery
NPI 1902127764
8872 PROFESSIONAL DR STE B
Cadillac, MI 49601
(231) 779-0320
✔ PECOS✔ Accepts Medicare44 mi
Stacy Moniz, AGNP-C
Nurse Practitioner
NPI 1740819499
400 HOBART ST
Cadillac, MI 49601
(231) 876-7200
✔ PECOS✔ Accepts Medicare44 mi
Kent Bowden, DO
General Surgery
NPI 1164550372
927 S CARMEL ST
Cadillac, MI 49601
(231) 876-3876
✔ PECOS✔ Accepts Medicare44 mi
See all 55 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 Manistee Hospital's NPI number?

The NPI number for Munson Healthcare Manistee Hospital is 1861577389. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider was formerly known as West Shore Medical Center.

Where is Munson Healthcare Manistee Hospital located?

Munson Healthcare Manistee Hospital is located at 1391 E Parkdale Ave, Manistee, MI 49660. The listed phone number is (231) 398-1760.

What is Munson Healthcare Manistee Hospital's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Munson Healthcare Manistee Hospital enrolled in Medicare?

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

How many clinicians bill Medicare through Munson Healthcare Manistee Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 16 Medicare specialties reassign their Medicare billing to Munson Healthcare Manistee 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 (16), Orthopedic Surgery (7) and General Surgery (6). Of these, 8 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Munson Healthcare Manistee Hospital accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Munson Healthcare Manistee 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 Manistee Hospital was last updated on April 20, 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.