NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC
NPI 1073597944
Emergency Medicine in Traverse City, MI

Active since December 02, 2005
1105 6TH ST, TRAVERSE CITY, MI 49684(231) 218-1310(801) 740-2847 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2023, Jul 21, 2022, Jul 27, 2021 and 1 more (4 updates tracked since 2019).

About Northwestern Michigan Emergency Physicians Pc NPPES

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

NORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC (NPI 1073597944) is a healthcare organization registered as an emergency medicine in Traverse City, Michigan and active in the NPI registry since December 2005. The organization lists Yvonne E Kaehler, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1073597944
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameNORTHWESTERN MICHIGAN EMERGENCY PHYSICIANS PC
Location Address1105 6TH STTraverse City, MI 49684-2349
Mailing AddressPo Box 72231Cleveland, OH 44192-0002 · (231) 218-1310 · Fax (801) 740-2847
Fax(801) 740-2847
Organization SubpartNo
Authorized OfficialYvonne E KaehlerAdminstrator · (231) 218-1310
Enumeration DateDecember 2, 2005
Last NPPES UpdateOctober 10, 20234 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1073597944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 3
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1105 6TH ST, Traverse City, MI 49684

Other Identifiers 2

Other010B860320MI · Bcbs
OtherCA0617MI · Railroad Medicare Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwestern Michigan Emergency Physicians Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20061019000359Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

59

Medicare enrollment records show 59 clinicians reassign Medicare billing to Northwestern Michigan Emergency Physicians PC, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Emergency Medicine41
Nurse Practitioner12
Family Practice4
General Practice1
Vascular Surgery1

Nearest to this location (20)

See all 59
Emergency Medicine
NPI 1811000466
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOSSame address
Emergency Medicine
NPI 1710305958
1105 SIXTH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1235383324
1105 6TH ST
Traverse City, MI 49684
(231) 620-1867
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053713479
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922151158
1105 6TH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1407110174
1105 SIXTH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1497751929
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOSSame address
Emergency Medicine
NPI 1619973153
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528467669
1105 SIXTH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1245594910
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831521996
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1225477243
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1194921387
1105 SIXTH ST
Traverse City, MI 49684
(231) 395-6333
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1972711653
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1467407924
1105 SIXTH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1386627917
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1548642465
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1174529606
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS0.1 mi
Emergency Medicine
NPI 1285677179
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1407038151
10223 E CHERRY BEND RD
Traverse City, MI 49684
(231) 929-7933
✔ PECOS✔ Accepts Medicare2.2 mi
See all 59 clinicians

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

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 Northwestern Michigan Emergency Physicians PC's NPI number?

The NPI number for Northwestern Michigan Emergency Physicians PC is 1073597944. It was assigned to this organization in the NPPES registry on December 2, 2005.

Where is Northwestern Michigan Emergency Physicians PC located?

Northwestern Michigan Emergency Physicians PC is located at 1105 6th St, Traverse City, MI 49684. The listed phone number is (231) 218-1310.

What is Northwestern Michigan Emergency Physicians PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Northwestern Michigan Emergency Physicians PC enrolled in Medicare?

Yes. Northwestern Michigan Emergency Physicians PC is registered in the Medicare PECOS enrollment system.

When is Northwestern Michigan Emergency Physicians PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northwestern Michigan Emergency Physicians PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 5 Medicare specialties reassign their Medicare billing to Northwestern Michigan Emergency Physicians PC. 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 (41), Nurse Practitioner (12) and Family Practice (4). Of these, 17 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northwestern Michigan Emergency Physicians PC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Northwestern Michigan Emergency Physicians PC 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 Northwestern Michigan Emergency Physicians PC was last updated on October 10, 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.