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CELLY HEALTH MEDICAL GROUP OF NORTHERN MICHIGAN PC
NPI 1194501130
Internal Medicine in Traverse City, MI

Active since September 06, 2023
10850 E TRAVERSE HWY STE 1155, TRAVERSE CITY, MI 49684(231) 268-0013 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2024, Sep 6, 2023 (2 updates tracked since 2023).

About Celly Health Medical Group Of Northern Michigan Pc NPPES

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

CELLY HEALTH MEDICAL GROUP OF NORTHERN MICHIGAN PC (NPI 1194501130) is a healthcare organization registered as an internal medicine in Traverse City, Michigan and active in the NPI registry since September 2023. The organization lists Shawn M Cole, President, as its authorized official.

NPPES Registry Identity

NPI1194501130
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCELLY HEALTH MEDICAL GROUP OF NORTHERN MICHIGAN PC
Location Address10850 E TRAVERSE HWY STE 1155Traverse City, MI 49684-1363
Mailing Address10850 E Traverse Hwy Ste 1155Traverse City, MI 49684-1363 · (231) 268-0013
Phone(231) 268-0013
Organization SubpartNo
Authorized OfficialShawn M ColePresident · (231) 933-4549
Enumeration DateSeptember 6, 2023
Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1194501130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10850 E TRAVERSE HWY STE 1155, Traverse City, MI 49684
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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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Celly Health Medical Group Of Northern Michigan Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Celly Health Medical Group Of Northern Michigan PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Alexis Bozek
Nurse Practitioner
NPI 1952111882
10850 E TRAVERSE HWY STE 1155
Traverse City, MI 49684
(231) 268-0013
✔ PECOS✔ Accepts MedicareSame address
Shawn Cole, MD
Internal Medicine
NPI 1972787067
10850 E TRAVERSE HWY STE 1155
Traverse City, MI 49684
(231) 268-0013
✔ PECOS✔ Accepts MedicareSame address
Jessica Mastbergen, NP
Nurse Practitioner
NPI 1023501699
10850 E TRAVERSE HWY STE 1155
Traverse City, MI 49684
(231) 268-0013
✔ PECOS✔ Accepts MedicareSame address
Colleen Buchan
Nurse Practitioner
NPI 1568129369
400 RENAISSANCE CTR STE 2600
Detroit, MI 48243
(888) 731-8994
✔ PECOS✔ Accepts Medicare214 mi

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 Celly Health Medical Group Of Northern Michigan PC's NPI number?

The NPI number for Celly Health Medical Group Of Northern Michigan PC is 1194501130. It was assigned to this organization in the NPPES registry on September 6, 2023.

Where is Celly Health Medical Group Of Northern Michigan PC located?

Celly Health Medical Group Of Northern Michigan PC is located at 10850 E Traverse Hwy Ste 1155, Traverse City, MI 49684. The listed phone number is (231) 268-0013.

What is Celly Health Medical Group Of Northern Michigan PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Celly Health Medical Group Of Northern Michigan PC enrolled in Medicare?

Yes. Celly Health Medical Group Of Northern Michigan PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Celly Health Medical Group Of Northern Michigan PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Celly Health Medical Group Of Northern Michigan 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 Nurse Practitioner (3) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Celly Health Medical Group Of Northern Michigan PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Celly Health Medical Group Of Northern Michigan 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 Celly Health Medical Group Of Northern Michigan PC was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.