NORTHERN MICHIGAN SURGICAL SUITES, LLC
NPI 1942851639
Clinic/Center - Ambulatory Surgical in Boyne City, MI

Q: What is Northern Michigan Surgical Suites, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since September 24, 2019CLIA 23D2172705 · Waiver

825 MOLL DR, BOYNE CITY, MI 49712(231) 497-1031(231) 459-4313 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2023, Jun 23, 2021, Sep 24, 2019 (3 updates tracked since 2019).

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About Northern Michigan Surgical Suites, Llc NPPES

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

NORTHERN MICHIGAN SURGICAL SUITES, LLC (NPI 1942851639) is a healthcare organization registered as an ambulatory surgical in Boyne City, Michigan and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Jonathan Bailey, Market President, as its authorized official.

NPPES Registry Identity

NPI1942851639

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameNORTHERN MICHIGAN SURGICAL SUITES, LLC

Location Address825 MOLL DRBoyne City, MI 49712-9182

Mailing Address825 Moll DrBoyne City, MI 49712-9182 · (231) 497-1031 · Fax (231) 459-4313

Phone(231) 497-1031

Fax(231) 459-4313

Organization SubpartNo

Authorized OfficialJonathan BaileyMarket President · (203) 609-1168

Enumeration DateSeptember 24, 2019

Last NPPES UpdateJune 12, 20263 updates tracked since enumeration

NPPES CertifiedJune 12, 2026

✔ NPI 1942851639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

825 MOLL DR, Boyne City, MI 49712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2172705

Northern Michigan Surgical Suites, LLC · Boyne City, MI

Active · expires Sep 26, 2027

CLIA Number23D2172705

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 27, 2025

Certificate Expiration DateSeptember 26, 2027

Laboratory DirectorAlfred J. Wroblewski

Laboratory Phone(231) 838-3704

Laboratory LocationNorthern Michigan Surgical Suites, LLC825 Moll Drive, Boyne City, MI 49712

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

105 services98 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

95 services80 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

88 services67 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

69 services69 patients

Release of tendon of palm or finger 26440

A release of tendon in the palm or finger is a procedure aimed to improve movement. It involves making a small cut to release a tendon, which is a band of tissue connecting muscle to bone. This can relieve symptoms like stiffness or difficulty with bending or straightening the hand or fingers.

51 services28 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

37 services37 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

31 services19 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

30 services14 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

24 services23 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

23 services23 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

21 services21 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

19 services12 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

17 services17 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

16 services16 patients

Removal of deep implant from bone 20680

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

15 services14 patients

Repair of tendon, finger, and/or palm of hand 26145

This procedure involves fixing damaged tendons in your finger or palm. Tendons connect muscles to bones, enabling movement. When injured, they require surgical repair to restore function. You'll be under anesthesia, and a surgeon will make small incisions to access and mend the tendon.

14 services13 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

14 services14 patients

Transfer of tendon to back of hand 26480

A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.

13 services12 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT S WEDGE CRNA

Nurse Anesthetist, Certified Registered

825 MOLL DR
BOYNE CITY, MI 49712

Charlevoix County (231) 497-1031

APOLLO MEDICAL GROUP OF NORTHERN MICHIGAN PLLC

Anesthesiology

825 MOLL DR
BOYNE CITY, MI 49712

Charlevoix County (231) 497-1031

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 Northern Michigan Surgical Suites, LLC's NPI number?

The NPI number for Northern Michigan Surgical Suites, LLC is 1942851639. It was assigned to this organization in the NPPES registry on September 24, 2019.

Where is Northern Michigan Surgical Suites, LLC located?

Northern Michigan Surgical Suites, LLC is located at 825 Moll Dr, Boyne City, MI 49712. The listed phone number is (231) 497-1031.

What is Northern Michigan Surgical Suites, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Northern Michigan Surgical Suites, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2172705) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northern Michigan Surgical Suites, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Northern Michigan Surgical Suites, LLC 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 Northern Michigan Surgical Suites, LLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.