MUNSON HEALTHCARE GREAT LAKES PLASTIC SURGERY & SKIN CENTER
NPI 1992463566
Plastic Surgery in Traverse City, MI

Q: What is Munson Medical Center's NPI number?

The NPI number for Munson Medical Center is 1992463566. It was assigned to this organization in the NPPES registry on December 1, 2021. The provider is doing business as Munson Healthcare Great Lakes Plastic Surgery & Skin Center.

Q: What is Munson Medical Center's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since December 01, 2021

5085 ANNA DR STE A, TRAVERSE CITY, MI 49684(231) 935-0180 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2024, Apr 1, 2024, Apr 28, 2022 and 1 more (4 updates tracked since 2021).

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About Munson Healthcare Great Lakes Plastic Surgery & Skin Center NPPES

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

MUNSON HEALTHCARE GREAT LAKES PLASTIC SURGERY & SKIN CENTER (NPI 1992463566) is a healthcare organization registered as a plastic surgery in Traverse City, Michigan and active in the NPI registry since December 2021. The organization lists Bonnie Kruszka, Coo Munson Physician Network, as its authorized official.

NPPES Registry Identity

NPI1992463566

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameMUNSON MEDICAL CENTER

Location Address5085 ANNA DR STE ATraverse City, MI 49684-7475

Mailing Address5085 Anna Dr Ste ATraverse City, MI 49684-7475 · (231) 935-0180

Phone(231) 935-0180

Organization SubpartNo

Authorized OfficialBonnie KruszkaCoo Munson Physician Network · (231) 935-4995

Enumeration DateDecember 1, 2021

Last NPPES UpdateOctober 4, 20244 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1992463566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

5085 ANNA DR STE A, Traverse City, MI 49684

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Other Names 1

Doing Business AsMunson Healthcare Great Lakes Plastic Surgery & Skin Center

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 Healthcare Great Lakes Plastic Surgery & Skin 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 Healthcare Great Lakes Plastic Surgery & Skin Center, which bills Medicare for the services they deliver. Of these, 3 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

Laura Christopher, NURSE PRACTITIONER

Nurse Practitioner

NPI 1558839696

5085 ANNA DR STE B&C
Traverse City, MI 49684

(231) 935-5900

✔ PECOS✔ Accepts MedicareSame address

John Polley, M.D.

Plastic and Reconstructive Surgery

NPI 1477534931

5085 ANNA DR STE A
Traverse City, MI 49684

(231) 935-0180

✔ PECOSSame address

F Smith, MD

Plastic and Reconstructive Surgery

NPI 1285614032

5085 ANNA DR STE A
Traverse City, MI 49684

(231) 935-0180

✔ PECOS✔ Accepts MedicareSame address

Alicia Becker, AGACNP-BC

Nurse Practitioner

NPI 1760076715

4062 W ROYAL DR
Traverse City, MI 49684

(231) 935-0338

✔ PECOS✔ Accepts Medicare0.2 mi

Jessica Slocum, M.D.

Nephrology

NPI 1144342262

4062 WEST ROYAL DRIVE
Traverse City, MI 49684

(231) 935-0338

✔ PECOS✔ Accepts Medicare0.2 mi

Kimberly Augenstein, M.D.

Physical Medicine and Rehabilitation

NPI 1760431340

3988 W ROYAL DR
Traverse City, MI 49684

(231) 935-0860

✔ PECOS✔ Accepts Medicare0.3 mi

Andrew Boyce, MD

Orthopedic Surgery

NPI 1275637811

4045 W ROYAL DR
Traverse City, MI 49684

(231) 395-0900

✔ PECOS✔ Accepts Medicare0.3 mi

Erica Austin, DO

Neurology

NPI 1477715076

3922 CEDAR RUN RD
Traverse City, MI 49684

(231) 392-0430

✔ PECOS✔ Accepts Medicare0.3 mi

Ward Gillett, M.D.

Urology

NPI 1053302562

3922 CEDAR RUN RD
Traverse City, MI 49684

(231) 935-0322

✔ PECOS0.3 mi

John Stratton, PHD

Clinical Psychologist

NPI 1548817935

3922 CEDAR RUN RD
Traverse City, MI 49684

(231) 392-0430

✔ PECOS✔ Accepts Medicare0.3 mi

Michael Boros, MD

Vascular Surgery

NPI 1942403159

3930 CEDAR RUN RD
Traverse City, MI 49684

(231) 935-0390

✔ PECOS✔ Accepts Medicare0.3 mi

Jonathan Beaulac, D.O.

Geriatric Medicine

NPI 1508132283

5041 N ROYAL DR
Traverse City, MI 49684

(231) 935-0600

✔ PECOS✔ Accepts Medicare0.3 mi

Neesha Fournier, MD

Internal Medicine

NPI 1194988402

5041 N ROYAL DR
Traverse City, MI 49684

(231) 935-0600

✔ PECOS✔ Accepts Medicare0.3 mi

Shiloh Tackett

Pulmonary Disease

NPI 1336567643

5087 N ROYAL DR
Traverse City, MI 49684

(231) 935-0440

✔ PECOS✔ Accepts Medicare0.3 mi

Melissa Bibicoff, DO

Obstetrics/Gynecology

NPI 1144560251

3960 W ROYAL DR
Traverse City, MI 49684

(231) 947-0404

✔ PECOS✔ Accepts Medicare0.4 mi

Lora Minidis, LPC

Mental Health Counselor

NPI 1811245558

5024 N ROYAL DR STE B
Traverse City, MI 49684

(231) 276-1999

✔ PECOS✔ Accepts Medicare0.4 mi

Roberto Corpus, M.D.

Interventional Cardiology

NPI 1417995432

3865 W FRONT ST STE 4AND5
Traverse City, MI 49684

(231) 252-0414

✔ PECOS✔ Accepts Medicare0.5 mi

Kelly Clark, MD

Family Practice

NPI 1487806717

1400 MEDICAL CAMPUS DR
Traverse City, MI 49684

(231) 935-8031

✔ PECOS✔ Accepts Medicare0.5 mi

Katrina Lawrence-Wolff, DO

Rheumatology

NPI 1013283845

3537 W FRONT ST STE A
Traverse City, MI 49684

(231) 935-8330

✔ PECOS✔ Accepts Medicare0.7 mi

Robert Sprunk, MD

Pediatric Medicine

NPI 1962480814

3537 W FRONT ST SUITE G
Traverse City, MI 49684

(231) 935-8822

✔ PECOS0.7 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 1992463566. It was assigned to this organization in the NPPES registry on December 1, 2021. The provider is doing business as Munson Healthcare Great Lakes Plastic Surgery & Skin Center.

Where is Munson Medical Center located?

Munson Medical Center is located at 5085 Anna Dr Ste A, Traverse City, MI 49684. The listed phone number is (231) 935-0180.

What is Munson Medical Center's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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, 3 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 October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.