Owen Adolphsen, - Medicare Certified Registered Nurse Anesthetist (crna) in Petoskey, MI

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Owen Adolphsen, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Petoskey, Michigan. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Munson Medical Group, North American Partners In Anesthesia, Pennsylvania , Llc, Northern Anesthesia Providers Pc and his current practice location is 416 Connable Ave, Petoskey, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 348-2795.

Owen Adolphsen is licensed to practice in Michigan (license number 4704351318) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063241230.

Contact Information

Owen Adolphsen,
416 Connable Ave,
Petoskey, MI 49770-2212
(231) 348-2795
(231) 348-2031

Map and Direction




Provider's Profile

Full NameOwen Adolphsen
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience1 Years
Location416 Connable Ave, Petoskey, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Owen Adolphsen graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1063241230
  • Provider Enumeration Date: 07/29/2024
  • Last Update Date: 06/01/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0446779185
  • Enrollment ID: I20250905001545

Medical Identifiers

Medical identifiers for Owen Adolphsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063241230NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704351318 (Michigan)Primary
163W00000XRegistered Nurse RN757422 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mclaren Northern MichiganPetoskey, MIHospital
Munson Medical CenterTraverse city, MIHospital
Upmc HamotErie, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Munson Medical Group8820277015191
North American Partners In Anesthesia, Pennsylvania , Llc7517960834302
Northern Anesthesia Providers Pc478957986331

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Owen Adolphsen allows following entities to bill medicare on his behalf.
Entity NameMunson Healthcare Charlevoix Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326124058
PECOS PAC ID: 4284528035
Enrollment ID: O20040211001170
Entity NameNorthern Anesthesia Providers PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396834628
PECOS PAC ID: 4789579863
Enrollment ID: O20040218000105
Entity NameMunson Healthcare Otsego Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376568865
PECOS PAC ID: 8325942535
Enrollment ID: O20050301000744
Entity NameMunson Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821398322
PECOS PAC ID: 8820277015
Enrollment ID: O20110120000061
Entity NameMunson Healthcare Cadillac
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871991596
PECOS PAC ID: 6305161514
Enrollment ID: O20150327000436
Entity NameMunson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710735287
PECOS PAC ID: 3072426287
Enrollment ID: O20250131002194

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Owen Adolphsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Owen Adolphsen,
602 Jackson St,
Petoskey, MI 49770-2220

Ph: (231) 348-2795		Owen Adolphsen,
416 Connable Ave,
Petoskey, MI 49770-2212

Ph: (231) 348-2795

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Petoskey, MI

Heather Marie Lesnik, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 602 Jackson St, Petoskey, MI 49770
Phone: 231-348-2795    Fax: 231-348-2031
Mr. Todd William Singleton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 416 Connable Ave, Petoskey, MI 49770
Phone: 231-348-2795    Fax: 231-348-2031
Michelle Rene'e Gaudreau, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 416 Connable Ave, Petoskey, MI 49770
Phone: 231-348-2795    Fax: 231-348-2031
Matthew Royal Wilson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 416 Connable Ave, Petoskey, MI 49770
Phone: 231-348-2795    Fax: 231-348-2031
Heather Jean Smith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 416 Connable Ave, Petoskey, MI 49770
Phone: 231-348-2795    Fax: 231-348-2031
Jonathon Johnson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 602 Jackson St, Petoskey, MI 49770
Phone: 231-348-2795    Fax: 231-348-2031
Justeena Kuiper,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 416 Connable Ave, Petoskey, MI 49770
Phone: 231-348-2795    Fax: 231-348-2031

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.