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MUNSON MEDICAL CENTER
NPI 1922030162
Family Medicine in Traverse City, MI

Active since July 07, 2006
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684(231) 935-8000(231) 935-8099 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2025, Aug 23, 2017 (2 updates tracked since 2017).

About Munson Medical Center NPPES

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

MUNSON MEDICAL CENTER (NPI 1922030162), doing business as Munson Family Practice Residency, is a healthcare organization registered as a family medicine in Traverse City, Michigan and active in the NPI registry since July 2006. The organization lists Bonnie Kruszka, Coo Munson Physician Network, as its authorized official.

NPPES Registry Identity

NPI1922030162
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMUNSON MEDICAL CENTER
Location Address1400 MEDICAL CAMPUS DRTraverse City, MI 49684-7823
Mailing Address2513 Momentum PlaceChicago, IL 60689-5325 · (231) 935-6080 · Fax (231) 935-6081
Phone(231) 935-8000
Fax(231) 935-8099
Organization SubpartNo
Authorized OfficialBonnie KruszkaCoo Munson Physician Network · (231) 935-4995
Enumeration DateJuly 7, 2006
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1922030162 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.
1400 MEDICAL CAMPUS DR, Traverse City, MI 49684
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Other Names 1

Doing Business AsMunson Family Practice Residency

Other Identifiers 4

Other21014MI · Priority Health Group #
OtherCB9942MI · Railroad Medicare Group #
Other080B812900MI · Bcbs Group Number
Other700B860160MI · Bcbs Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

492

Medicare enrollment records show 492 clinicians reassign Medicare billing to Munson Medical Center, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 315 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Nurse Practitioner118
Family Practice44
Neurology31
Internal Medicine30
Obstetrics/Gynecology25
Orthopedic Surgery23
General Surgery20
Psychiatry20
36 other specialties181

Nearest to this location (20)

See all 492
Kelly Clark, MD
Family Practice
NPI 1487806717
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8031
✔ PECOS✔ Accepts MedicareSame address
Gwendolyn Gravelie, MD
Family Practice
NPI 1093058737
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts MedicareSame address
David Klee, MD
Family Practice
NPI 1497763809
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts MedicareSame address
Timothy Lambert, DO
Family Practice
NPI 1386734366
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts MedicareSame address
Renae Preston, NP
Nurse Practitioner
NPI 1417105800
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts MedicareSame address
Joseph Rawlin, DO
Family Practice
NPI 1306904842
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts MedicareSame address
Miriam Rienstra-Bareman, MPH, MD
Family Practice
NPI 1134748650
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8012
✔ PECOS✔ Accepts MedicareSame address
Kathryn Shaffer, M.D.
Family Practice
NPI 1487940631
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts MedicareSame address
Samantha Windle, D.O.
Family Practice
NPI 1013328640
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts MedicareSame address
Roberto Corpus, M.D.
Interventional Cardiology
NPI 1417995432
3865 W FRONT ST STE 4AND5
Traverse City, MI 49684
(231) 252-0414
✔ PECOS✔ Accepts Medicare0.1 mi
Heather Richey, NP
Nurse Practitioner
NPI 1730630096
3865 W FRONT ST STE 4&5
Traverse City, MI 49684
(231) 252-0414
✔ PECOS✔ Accepts Medicare0.1 mi
Lora Minidis, LPC
Mental Health Counselor
NPI 1811245558
5024 N ROYAL DR STE B
Traverse City, MI 49684
(231) 276-1999
✔ PECOS✔ Accepts Medicare0.1 mi
Charles Klettner, MD
Internal Medicine
NPI 1760441646
5015 N ROYAL DRIVE
Traverse City, MI 49684
(231) 935-0850
✔ PECOS✔ Accepts Medicare0.2 mi
Jonathan Beaulac, D.O.
Geriatric Medicine
NPI 1508132283
5041 N ROYAL DR
Traverse City, MI 49684
(231) 935-0600
✔ PECOS✔ Accepts Medicare0.2 mi
Shiloh Tackett
Pulmonary Disease
NPI 1336567643
5087 N ROYAL DR
Traverse City, MI 49684
(231) 935-0440
✔ PECOS✔ Accepts Medicare0.2 mi
Michael Boros, MD
Vascular Surgery
NPI 1942403159
3930 CEDAR RUN RD
Traverse City, MI 49684
(231) 935-0390
✔ PECOS✔ Accepts Medicare0.2 mi
Erica Austin, DO
Neurology
NPI 1477715076
3922 CEDAR RUN RD
Traverse City, MI 49684
(231) 392-0430
✔ PECOS✔ Accepts Medicare0.2 mi
Ward Gillett, M.D.
Urology
NPI 1053302562
3922 CEDAR RUN RD
Traverse City, MI 49684
(231) 935-0322
✔ PECOS0.2 mi
John Stratton, PHD
Clinical Psychologist
NPI 1548817935
3922 CEDAR RUN RD
Traverse City, MI 49684
(231) 392-0430
✔ PECOS✔ Accepts Medicare0.2 mi
Tara Bournay, DO
Family Practice
NPI 1487090718
3601 W FRONT ST
Traverse City, MI 49684
(231) 946-1120
✔ PECOS✔ Accepts Medicare0.3 mi
See all 492 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 Medical Center's NPI number?

The NPI number for Munson Medical Center is 1922030162. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Munson Family Practice Residency.

Where is Munson Medical Center located?

Munson Medical Center is located at 1400 Medical Campus Dr, Traverse City, MI 49684. The listed phone number is (231) 935-8000.

What is Munson Medical Center's specialty?

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

Is Munson Medical Center enrolled in Medicare?

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

How many clinicians bill Medicare through Munson Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 492 clinicians in 44 Medicare specialties reassign their Medicare billing to Munson Medical Center. 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 (118), Family Practice (44) and Neurology (31). Of these, 9 practice at this address and 315 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Munson Medical Center accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Munson Medical Center 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 Medical Center was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.