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CRYSTAL LAKE CLINIC P.C.
NPI 1164945978
Family Medicine in Suttons Bay, MI

Active since July 24, 2017
650 S WEST BAY SHORE DR, SUTTONS BAY, MI 49682(231) 882-9661 Get Directions Write a Review

NPPES record last updated: July 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Lake Clinic P.c. NPPES

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

CRYSTAL LAKE CLINIC P.C. (NPI 1164945978) is a healthcare organization registered as a family medicine in Suttons Bay, Michigan and active in the NPI registry since July 2017. The organization lists Richard C Nielsen, President, as its authorized official.

NPPES Registry Identity

NPI1164945978
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRYSTAL LAKE CLINIC P.C.
Location Address650 S WEST BAY SHORE DRSuttons Bay, MI 49682-9587
Mailing Address6227 Frankfort HwyBenzonia, MI 49616-8632 · (231) 882-9661
Phone(231) 882-9661
Organization SubpartNo
Authorized OfficialRichard C NielsenPresident · (231) 882-9661
Enumeration DateJuly 24, 2017
✔ NPI 1164945978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

650 S WEST BAY SHORE DR, Suttons Bay, MI 49682
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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.

LEELANAU URGENT CARE, PC
Clinic/Center (Urgent Care)
650 S WEST BAY SHORE DR
SUTTONS BAY, MI 49682
Leelanau County (231) 271-6511
MARK A PRIEST DO PC
Family Medicine
650 S WEST BAY SHORE DR
SUTTONS BAY, MI 49682
Leelanau County (231) 271-5161
LEELANAU URGENT CARE, PC
General Practice
650 S WEST BAY SHORE DR
SUTTONS BAY, MI 49682
Leelanau County (231) 271-6511
LEELANAU URGENT CARE, PC
Clinic/Center (Radiology)
650 S WEST BAY SHORE DR
SUTTONS BAY, MI 49682
Leelanau County (231) 271-6511
DR. JOHN P DUNN M.D.
Internal Medicine (Geriatric Medicine)
650 S WEST BAY SHORE DR
SUTTONS BAY, MI 49682
Leelanau County (231) 866-4150
ANDREA L KNOKE PA-C
Physician Assistant (Medical)
650 S WEST BAY SHORE DR
SUTTONS BAY, MI 49682
Leelanau County (231) 271-6511
DANETTE LEA WELLS PA-C
Physician Assistant
650 S WEST BAY SHORE DR
SUTTONS BAY, MI 49682
Leelanau County (231) 271-5161

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 Crystal Lake Clinic P.C.'s NPI number?

The NPI number for Crystal Lake Clinic P.C. is 1164945978. It was assigned to this organization in the NPPES registry on July 24, 2017.

Where is Crystal Lake Clinic P.C. located?

Crystal Lake Clinic P.C. is located at 650 S West Bay Shore Dr, Suttons Bay, MI 49682. The listed phone number is (231) 882-9661.

What is Crystal Lake Clinic P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Crystal Lake Clinic P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Crystal Lake Clinic P.C. 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 Crystal Lake Clinic P.C. was last updated on July 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.