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ANDREA DUNKLOW
NPI 1053713479
Nurse Practitioner - Family in Traverse City, MI

Active since September 17, 2014PECOS EnrolledAccepts Medicare Assignment
1105 6TH ST, TRAVERSE CITY, MI 49684(231) 947-0673(801) 740-2847 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1053713479
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA DUNKLOW
Location Address1105 6TH STTraverse City, MI 49684-2349
Mailing Address4624 N Spider Lake RdTraverse City, MI 49696-8440 · (231) 947-0673 · Fax (801) 740-2847
Phone(231) 947-0673
Fax(801) 740-2847
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 17, 2014
Last NPPES UpdateJuly 26, 2023
NPPES CertifiedJuly 26, 2023
✔ NPI 1053713479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704252790
1105 6TH ST, Traverse City, MI 49684
Open in Google Maps ↗

Other Identifiers 1

Other4704252790MI · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9133173495
PECOS Enrollment IDI20141031002018
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services16 patients

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, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ADVANCED WOUND CARE & HYPERBARIC PHYSICIANS OF TRAVERSE CITY, PLC
Emergency Medicine
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0673
BEVIN CLAYTON DO
Emergency Medicine
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0673
TRAVERSE ANESTHESIA ASSOCIATES, PC
Anesthesiology (Pain Medicine)
1105 6TH ST, MUNSON MEDICAL CENTER/TRAVERSE ANESTHESIA ASSOCIATES, P
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
MR. DONALD EDWARD ROUTZAHN RPH
Pharmacist
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
DR. PHILIP MICHAEL DIMONDO PHARMD
Pharmacist
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6559
NATALIE C CREW RD
Dietitian, Registered
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6447
KARLA A FISHBURN RN
Registered Nurse
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3321
DALE C BLUM M.D.
Emergency Medicine (Emergency Medical Services)
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0673

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.

What insurance does Andrea Dunklow accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Andrea Dunklow 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.

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 with the weekly NPPES data releases published by CMS.