DR. ADRIENNE ELIZABETH EDGREN (D.O.) – Internal Medicine Physician, NPI 1629212816

DR. ADRIENNE ELIZABETH EDGREN (D.O.) is a healthcare provider. based in Traverse city, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101020811 (MI). The NPI Number for DR. ADRIENNE ELIZABETH EDGREN (D.O.) is 1629212816

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADRIENNE ELIZABETH EDGREN (D.O.)
NPI
1629212816
Phone
(231) 922-9270
Address
1014 SIXTH ST
Enumeration Date
1 May 2009
Last Update Date
26 August 2013

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2319418100
Graduation Year
2009 (17 years ago)
PAC ID
9335374131
Group Practice PAC ID
7719876580
Professional Enrollment ID
I20131104000595
Address ID
MI496847621TR9731XRDXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

7,232 INTERNAL MEDICINE in MI

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Provider Addresses for DR. ADRIENNE ELIZABETH EDGREN (D.O.)

  • 1014, Sixth Street, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States

    TRAVERSE CITY, MI 496842381

    Phone: (231) 922-9270

    Fax: (231) 922-9271

    Type: Mailing

  • Munson Medical Center, 1105, Sixth Street, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States

    TRAVERSE CITY, MI 496842349

    Phone: (231) 922-9270

    Fax: (231) 922-9271

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $38,722.

Total Amount is formed as General ($38,722) + Research ($0) + Ownership ($0) = $38,722.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Inari Medical, Inc. ($38,283).

Total Amount

$38,722

General + Research + Ownership

Payments

62

Total payment records

General Amount

$38,722

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131104000595IInternal MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7040$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5329$0
99239Hospital discharge day management, more than 30 minutes3535$0
36415Insertion of needle into vein for collection of blood sample2827$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719876580View full group profile
NameSpecialtyState
Internal MedicineMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Family PracticeMI
Family PracticeMI
Internal MedicineMI
Family PracticeMI
Family PracticeMI
Emergency Medicine, Family PracticeMI
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

What number should I use to identify DR. ADRIENNE ELIZABETH EDGREN (D.O.) for billing?
Administrative and clinical systems typically use NPI 1629212816 for DR. ADRIENNE ELIZABETH EDGREN (D.O.).
Should I treat DR. ADRIENNE ELIZABETH EDGREN (D.O.) as an active provider?
Patients and plans typically see DR. ADRIENNE ELIZABETH EDGREN (D.O.) as active in the national extract.
How should patients interpret DR. ADRIENNE ELIZABETH EDGREN (D.O.)'s specialty?
The extract shows Internal Medicine Physician for DR. ADRIENNE ELIZABETH EDGREN (D.O.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. ADRIENNE ELIZABETH EDGREN (D.O.)?
The directory associates DR. ADRIENNE ELIZABETH EDGREN (D.O.) with Traverse City, Michigan. Check all listed addresses for suites or satellite offices.
Can I export DR. ADRIENNE ELIZABETH EDGREN (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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