DR. KRISTINA ANNE LISHAWA M.D.
NPI 1063425205
Pediatrics in Traverse City, MI
About Dr. Kristina Anne Lishawa M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTINA ANNE LISHAWA M.D. (NPI 1063425205) is an individual pediatrics provider in Traverse City, Michigan, licensed in Michigan (4301094127) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2004).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
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
Dr. Kristina Anne Lishawa M.d. 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 Reassignment
Medicare enrollment records show Kristina Lishawa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 7 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.
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.
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
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 Kristina Lishawa's NPI number?
The NPI number for Kristina Lishawa is 1063425205. It was assigned to this individual provider in the NPPES registry on August 15, 2006.
Where is Kristina Lishawa located?
Kristina Lishawa practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 922-9270.
What is Kristina Lishawa's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kristina Lishawa enrolled in Medicare?
Yes. Kristina Lishawa 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 organization bills Medicare for Kristina Lishawa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Lishawa reassigns Medicare benefits to Kids Creek Childrens Clinic PC (Traverse City, MI). The 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 Kristina Lishawa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Lishawa accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kristina Lishawa 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 Kristina Lishawa was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Dr. Kristina Anne Lishawa, M.D. · NPI 1063425205
Pediatrics physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since August 15, 2006.
## Identity
- **NPI:** 1063425205 (Entity type: Individual)
- **Enumerated:** August 15, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301094127 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1105 SIXTH ST, Traverse City, MI 49684-2345
- **Phone:** (231) 922-9270 · **Fax:** (231) 922-9271
## 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:** Kids Creek Childrens Clinic PC (NPI 1649291832, Traverse City, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 2004
## Record status
- **NPPES last updated:** January 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063425205) · Data from the CMS NPPES public registry.