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KALKASKA MEMORIAL HEALTH CENTER
NPI 1013183060
Family Medicine in Kalkaska, MI

Active since April 30, 2008CLIA Certified · 2 labs
419 S CORAL ST, KALKASKA, MI 49646(231) 258-7500(231) 258-7527 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2025, Nov 8, 2024, Sep 10, 2021 and 3 more (6 updates tracked since 2019).

About Kalkaska Memorial Health Center NPPES

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

KALKASKA MEMORIAL HEALTH CENTER (NPI 1013183060) is a healthcare organization registered as a family medicine in Kalkaska, Michigan and active in the NPI registry since April 2008. The organization holds 2 active CLIA laboratory certificates and lists Andrew R. Raymond, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1013183060
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKALKASKA MEMORIAL HEALTH CENTER
Location Address419 S CORAL STKalkaska, MI 49646-2503
Mailing AddressPo Box 916Traverse City, MI 49685-0916
Phone(231) 258-7500
Fax(231) 258-7527
Organization SubpartNo
Authorized OfficialAndrew R. RaymondPresident/ceo · (231) 258-3651
Enumeration DateApril 30, 2008
Last NPPES UpdateSeptember 18, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1013183060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
419 S CORAL ST, Kalkaska, MI 49646
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Other Identifiers 2

Other700D060020MI · Blue Cross Blue Shield Of Michigan
Other700D060020Blue Care Network

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Kalkaska Memorial Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Kalkaska Memorial Health Center, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Emergency Medicine19
Nurse Practitioner15
Family Practice14
Orthopedic Surgery7
General Surgery6
Certified Registered Nurse Anesthetist (CRNA)5
Anesthesiology3
Clinical Social Worker3
14 other specialties18

Nearest to this location (20)

See all 90
Blair Brown, MD, MPH
Family Practice
NPI 1285377960
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts MedicareSame address
Andrew Cole, MD
Physical Medicine and Rehabilitation
NPI 1699901611
419 S CORAL ST
Kalkaska, MI 49646
(231) 285-7777
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Godfrey, MD
Family Practice
NPI 1063041465
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7506
✔ PECOS✔ Accepts MedicareSame address
Rachael Hume-Reichardt, DO
Family Practice
NPI 1922662113
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts MedicareSame address
Marc Krakow, M.D.
Emergency Medicine
NPI 1730185273
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7506
✔ PECOS✔ Accepts MedicareSame address
Andrew Long, DO
Family Practice
NPI 1558554808
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts MedicareSame address
Whitney Mervau, FNP
Nurse Practitioner
NPI 1134720899
419 S CORAL ST
Kalkaska, MI 49646
(231) 633-9550
✔ PECOSSame address
James Milliken, MD
Pulmonary Disease
NPI 1467459867
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts MedicareSame address
Natalie Okerson-Sparks, MD
Family Practice
NPI 1972503324
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts MedicareSame address
Sarah Ray, FNP-BC
Nurse Practitioner
NPI 1417103714
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts MedicareSame address
Jordan Sanger
Mental Health Counselor
NPI 1629761747
419 S CORAL ST
Kalkaska, MI 49646
(231) 631-6684
✔ PECOSSame address
Richard Hodgman, M.D.
Family Practice
NPI 1275561474
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.1 mi
Jeremy Holmes, DO
Family Practice
NPI 1912935867
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.1 mi
Taylor Horning, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205324795
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ Accepts Medicare0.5 mi
James Casey, DO
Internal Medicine
NPI 1568843704
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.5 mi
Emmaline Keely-Luhellier, NP
Nurse Practitioner
NPI 1811872997
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7500
✔ PECOS✔ Accepts Medicare0.5 mi
Evan Parks, PSY.D.
Clinical Psychologist
NPI 1437452406
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.5 mi
Amanda Porter, MD
Neurology
NPI 1639638729
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.5 mi
Jennifer Leino, MD
Family Practice
NPI 1588648539
419 W STATE ST
Mancelona, MI 49659
(231) 587-9181
✔ PECOS✔ Accepts Medicare13 mi
William Nowak, D.O.
Obstetrics/Gynecology
NPI 1194902163
3990 EAST M72
Acme, MI 49690
(231) 938-2366
✔ PECOS✔ Accepts Medicare17 mi
See all 90 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2038127

Kalkaska Memorial Health Center Teen Health Corner · Kalkaska, MI
Active · expires Mar 12, 2028
CLIA Number23D2038127
Laboratory TypeAdolescent Health Ctr
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorNatalie J. Okerson-Sparks
Laboratory Phone(231) 258-7791
Laboratory LocationKalkaska Memorial Health Center Teen Health Corner419 S Coral Street, Kalkaska, MI 49646
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 23D0651073

Kalkaska Memorial Health Center · Kalkaska, MI
Active · expires Feb 19, 2028
CLIA Number23D0651073
Laboratory TypeHospital
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorDr. William A. Kanner
Laboratory Phone(231) 258-7508
Laboratory LocationKalkaska Memorial Health Center419 S Coral St, Kalkaska, MI 49646
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 23D2195679

Kalkaska Memorial Health Center · Kalkaska, MI
Expired · Oct 11, 2026
CLIA Number23D2195679
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorJulie A. Krauth
Laboratory Phone(231) 258-8632
Laboratory LocationKalkaska Memorial Health Center419 S Coral Street, Kalkaska, MI 49646
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Kalkaska Memorial Health Center's NPI number?

The NPI number for Kalkaska Memorial Health Center is 1013183060. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is Kalkaska Memorial Health Center located?

Kalkaska Memorial Health Center is located at 419 S Coral St, Kalkaska, MI 49646. The listed phone number is (231) 258-7500.

What is Kalkaska Memorial Health Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kalkaska Memorial Health Center enrolled in Medicare?

Yes. Kalkaska Memorial Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kalkaska Memorial Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 22 Medicare specialties reassign their Medicare billing to Kalkaska Memorial Health 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 Emergency Medicine (19), Nurse Practitioner (15) and Family Practice (14). Of these, 11 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kalkaska Memorial Health Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Kalkaska Memorial Health Center accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kalkaska Memorial Health 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 Kalkaska Memorial Health Center was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.