CHRISTIAN MATTHEW FISHWICK
NPI 1205609781
Physician Assistant - Medical in Petoskey, MI

Active since November 06, 2023PECOS EnrolledAccepts Medicare Assignment
1114 CHARLEVOIX AVE, PETOSKEY, MI 49770(231) 489-8151 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2026, Jan 2, 2025, Nov 6, 2023 (3 updates tracked since 2023).

About Christian Matthew Fishwick NPPES

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

CHRISTIAN MATTHEW FISHWICK (NPI 1205609781) is an individual medical provider in Petoskey, Michigan and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205609781
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCHRISTIAN MATTHEW FISHWICK
Location Address1114 CHARLEVOIX AVEPetoskey, MI 49770-9701
Mailing Address2373 Ridge RdWhite Lake, MI 48383-1746 · (248) 894-1694
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 6, 2023
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1205609781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1114 CHARLEVOIX AVE, Petoskey, MI 49770

Secondary Practice Locations 2

Location 1829 N Center Ave Ste 160Gaylord, MI 49735-1598 · Phone (231) 489-8151 · Fax (231) 668-7794
Location 2101 Oxbow DrAlpena, MI 49707-1448 · Phone (231) 489-8151 · Fax (231) 668-7794

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Christian Matthew Fishwick is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931559226
PECOS Enrollment IDI20231228003056
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

Radiology (Diagnostic Radiology)
1114 CHARLEVOIX AVE
PETOSKEY, MI 49770
Otolaryngology
1114 CHARLEVOIX AVE
PETOSKEY, MI 49770
Radiology (Diagnostic Radiology)
1114 CHARLEVOIX AVE
PETOSKEY, MI 49770
Audiologist
1114 CHARLEVOIX AVE
PETOSKEY, MI 49770
Radiology (Diagnostic Radiology)
1114 CHARLEVOIX AVE
PETOSKEY, MI 49770
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1114 CHARLEVOIX AVE
PETOSKEY, MI 49770
Audiologist
1114 CHARLEVOIX AVE
PETOSKEY, MI 49770
Nurse Practitioner (Family)
1114 CHARLEVOIX AVE
PETOSKEY, MI 49770

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 Christian Fishwick's NPI number?

The NPI number for Christian Fishwick is 1205609781. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Christian Fishwick located?

Christian Fishwick practices at 1114 Charlevoix Ave, Petoskey, MI 49770. The listed phone number is (231) 489-8151.

What is Christian Fishwick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Christian Fishwick enrolled in Medicare?

Yes. Christian Fishwick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Christian Fishwick accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Christian Fishwick 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.

Is Christian Fishwick affiliated with any hospitals?

According to CMS data, Christian Fishwick is affiliated with Mymichigan Medical Center Alpena, Mclaren Northern Michigan and Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for Christian Fishwick was last updated on June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.