ANDREA DUNKLOW
NPI 1053713479
Nurse Practitioner - Family in Traverse City, MI
About Andrea Dunklow NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA DUNKLOW (NPI 1053713479) is an individual family provider in Traverse City, Michigan, licensed in Michigan (4704252790) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrea Dunklow is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Andrea Dunklow reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Interlochen Emergency Group PC
- 60 clinicians in this Medicare group
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 492 clinicians in this Medicare group
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 59 clinicians in this Medicare group
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 5 clinicians in this Medicare group
Cadillac, MI 49601
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Caberfae Emergency Group PC
- 92 clinicians in this Medicare group
Charlevoix, MI 49720
- Reassigned Medicare billing, Michigan enrollment
- 97 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Munson Medical Center
Acute Care Hospitals · Traverse City, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
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 Andrea Dunklow's NPI number?
The NPI number for Andrea Dunklow is 1053713479. It was assigned to this individual provider in the NPPES registry on September 17, 2014.
Where is Andrea Dunklow located?
Andrea Dunklow practices at 1105 6th St, Traverse City, MI 49684. The listed phone number is (231) 947-0673.
What is Andrea Dunklow's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Andrea Dunklow enrolled in Medicare?
Yes. Andrea Dunklow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Andrea Dunklow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Dunklow reassigns Medicare benefits to 6 organizations: Interlochen Emergency Group, P.C. (Traverse City, MI), Munson Medical Center (Traverse City, MI), Northwestern Michigan Emergency Physicians PC (Traverse City, MI), True North Medical PC (Traverse City, MI), Caberfae Emergency Group, P.C. (Cadillac, MI) and 1 more organization, listed in the Medicare section above. Each 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 Andrea Dunklow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Andrea Dunklow affiliated with any hospitals?
According to CMS data, Andrea Dunklow is affiliated with Munson Medical Center.
When was this NPI record last updated?
The NPPES record for Andrea Dunklow was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Andrea Dunklow · NPI 1053713479
Family physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since September 17, 2014.
## Identity
- **NPI:** 1053713479 (Entity type: Individual)
- **Enumerated:** September 17, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704252790 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1105 6TH ST, Traverse City, MI 49684-2349
- **Phone:** (231) 947-0673 · **Fax:** (801) 740-2847
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Interlochen Emergency Group, P.C. (NPI 1336821495, Traverse City, MI); Munson Medical Center (NPI 1205864220, Traverse City, MI); Northwestern Michigan Emergency Physicians PC (NPI 1073597944, Traverse City, MI); True North Medical PC (NPI 1295564391, Traverse City, MI); Caberfae Emergency Group, P.C. (NPI 1447932504, Cadillac, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 26, 2023
- **Other identifiers:** Other 4704252790 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1053713479) · Data from the CMS NPPES public registry.