Northern Anesthesia Providers PC
NPI 1396834628 · Anesthesiology Physician · Petoskey, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Anesthesia Providers PC is a Anesthesiology Physician organization in Petoskey, MI (NPI 1396834628).
Provider details
- NPI number
- 1396834628
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mytch Vanderlooven, Office Manager(231) 348-2795
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2025-07-11
- Certified
- 2025-07-11
Frequently asked questions
- What is Northern Anesthesia Providers PC's NPI number?
- Northern Anesthesia Providers PC's National Provider Identifier (NPI) is 1396834628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Anesthesia Providers PC?
- Northern Anesthesia Providers PC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Northern Anesthesia Providers PC located?
- Northern Anesthesia Providers PC's practice location on file with NPPES is 602 Jackson St, Petoskey, MI 49770-2220.
- What is Northern Anesthesia Providers PC's phone number?
- The practice phone number listed in the NPPES registry for Northern Anesthesia Providers PC is (231) 348-2795.
- Does Northern Anesthesia Providers PC accept Medicare?
- Northern Anesthesia Providers PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northern Anesthesia Providers PC?
- The authorized official listed on Northern Anesthesia Providers PC's NPPES record is Mytch Vanderlooven, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Anesthesia Providers PC's NPI active?
- Yes — Northern Anesthesia Providers PC's NPI (1396834628) is active in the NPPES registry as of the last update on 2025-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.