GRAND TRAVERSE BAND OF OTTAWA AND CHIPPEWA INDIANS
NPI 1134281132
Clinic/Center - Federally Qualified Health Center (FQHC) in Suttons Bay, MI
About Grand Traverse Band Of Ottawa And Chippewa Indians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND TRAVERSE BAND OF OTTAWA AND CHIPPEWA INDIANS (NPI 1134281132), doing business as Grand Traverse Band Family Health Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Suttons Bay, Michigan and active in the NPI registry since December 2006. The organization lists Sonya Zotigh, Health Admin, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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)
Grand Traverse Band Of Ottawa And Chippewa Indians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Grand Traverse Band Of Ottawa And Chippewa Indians, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Grand Traverse Band Of Ottawa And Chippewa Indians's NPI number?
The NPI number for Grand Traverse Band Of Ottawa And Chippewa Indians is 1134281132. It was assigned to this organization in the NPPES registry on December 15, 2006. The provider is doing business as Grand Traverse Band Family Health Clinic.
Where is Grand Traverse Band Of Ottawa And Chippewa Indians located?
Grand Traverse Band Of Ottawa And Chippewa Indians is located at 2300 N Stallman Rd Ste A, Suttons Bay, MI 49682. The listed phone number is (231) 534-7200.
What is Grand Traverse Band Of Ottawa And Chippewa Indians's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Grand Traverse Band Of Ottawa And Chippewa Indians enrolled in Medicare?
Yes. Grand Traverse Band Of Ottawa And Chippewa Indians is registered in the Medicare PECOS enrollment system.
When is Grand Traverse Band Of Ottawa And Chippewa Indians'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 February 28, 2027. 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 Grand Traverse Band Of Ottawa And Chippewa Indians?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Grand Traverse Band Of Ottawa And Chippewa Indians. 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 Nurse Practitioner (4), Family Practice (2) and Internal Medicine (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Grand Traverse Band Of Ottawa And Chippewa Indians accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Grand Traverse Band Of Ottawa And Chippewa Indians 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 Grand Traverse Band Of Ottawa And Chippewa Indians was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Grand Traverse Band Of Ottawa And Chippewa Indians · NPI 1134281132
Federally Qualified Health Center (FQHC) organization in Suttons Bay, Michigan. Organization record, active in the CMS NPPES registry since December 15, 2006.
## Identity
- **NPI:** 1134281132 (Entity type: Organization)
- **Enumerated:** December 15, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Grand Traverse Band Family Health Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sonya Zotigh, HEALTH ADMIN
## Practice location
- **Address:** 2300 N STALLMAN RD STE A, Suttons Bay, MI 49682-9158
- **Phone:** (231) 534-7200 · **Fax:** (231) 534-7460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (2), Internal Medicine (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2025
- **Other identifiers:** Medicaid 1376553586 (MI); Other 700D545020 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1134281132) · Data from the CMS NPPES public registry.