NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC – Emergency Medicine Physician, NPI 1073597944

NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC is a healthcare provider. based in Traverse city, Michigan. specializing in Emergency Medicine Physician. The organization holds a License No. 3 (MI). The NPI Number for NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC is 1073597944

Main info

Organization
Name
NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC
NPI
1073597944
Phone
(231) 218-1310
Address
1105 6TH ST
Authorized Official
MS. YVONNE E KAEHLER ADMINSTRATOR
Enumeration Date
2 December 2005
Last Update Date
10 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC

  • 6th Street, Fife Lake, Fife Lake Township, Grand Traverse County, Michigan, United States

    TRAVERSE CITY, MI 496842349

    Phone: (231) 218-1310

    Fax: (801) 740-2847

    Type: Location

  • PO BOX 72231

    CLEVELAND, OH 441920002

    Phone: (231) 218-1310

    Fax: (801) 740-2847

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-10-19

PECOS data refreshed: 2026-05-27

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
O20061019000359OClinic/Group PracticeMITBD

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

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49684)

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Reviews

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Frequently asked questions

What is the registry number for NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC?
The registry entry for NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC shows NPI 1073597944.
Quick check: is NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC active?
Public NPPES data shows NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC with an active NPI status right now.
How should patients interpret NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC's specialty?
The extract shows Emergency Medicine Physician for NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC. Clinical services aligned with this taxonomy classification.
Can patients visit NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC in Traverse City, Michigan?
For routing, start with Traverse City, Michigan for NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC, then verify phone and hours locally.
Who maintains NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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