INTERNAL MEDICINE CLINIC PLLC
NPI 1124011127
Internal Medicine - Pulmonary Disease in Alpena, MI

Active since August 24, 2005CLIA 23D0381527 · Waiver
105 ARBOR LN, ALPENA, MI 49707(989) 356-3485(989) 356-6396 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Internal Medicine Clinic Pllc NPPES

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

INTERNAL MEDICINE CLINIC PLLC (NPI 1124011127) is a healthcare organization registered as a pulmonary disease in Alpena, Michigan and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Kristen Metzke, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1124011127
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameINTERNAL MEDICINE CLINIC PLLC
Location Address105 ARBOR LNAlpena, MI 49707-1301
Mailing Address105 Arbor LnAlpena, MI 49707-1301 · (989) 356-3485 · Fax (989) 356-6396
Fax(989) 356-6396
Organization SubpartNo
Authorized OfficialKristen MetzkeBilling Manager · (989) 356-3485
Enumeration DateAugust 24, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1124011127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MI · JM059074
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License HS024997 (MI)
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License MC034224 (MI)
105 ARBOR LN, Alpena, MI 49707

Other Identifiers 1

Other110Z476020MI · Bcbsm Common Provider #

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

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 23D0381527

Internal Medicine Clinic · Alpena, MI
Active · expires Jan 23, 2028
CLIA Number23D0381527
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorStephen C. Sheridan
Laboratory Phone(989) 356-3485
Laboratory LocationInternal Medicine Clinic105 Arbor Lane, Alpena, MI 49707
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine (Emergency Medical Services)
105 ARBOR LN
ALPENA, MI 49707
Physician Assistant
105 ARBOR LN
ALPENA, MI 49707
Internal Medicine
105 ARBOR LN
ALPENA, MI 49707
Family Medicine
105 ARBOR LN
ALPENA, MI 49707
Nurse Practitioner (Family)
105 ARBOR LN
ALPENA, MI 49707
Dermatology
105 ARBOR LN
ALPENA, MI 49707
Specialist
105 ARBOR LN
ALPENA, MI 49707

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 Internal Medicine Clinic PLLC's NPI number?

The NPI number for Internal Medicine Clinic PLLC is 1124011127. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Internal Medicine Clinic PLLC located?

Internal Medicine Clinic PLLC is located at 105 Arbor Ln, Alpena, MI 49707. The listed phone number is (989) 356-3485.

What is Internal Medicine Clinic PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Does Internal Medicine Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0381527) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Internal Medicine Clinic PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Internal Medicine Clinic PLLC 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 Internal Medicine Clinic PLLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.