GRAND TRAVERSE PATHOLOGY, PLLC
NPI 1306868427
Pathology - Anatomic Pathology & Clinical Pathology in Traverse City, MI
About Grand Traverse Pathology, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND TRAVERSE PATHOLOGY, PLLC (NPI 1306868427) is a healthcare organization registered as an anatomic pathology & clinical pathology in Traverse City, Michigan and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Cadillac and lists Amy W Ferguson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 8
Accepted 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)
Grand Traverse Pathology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Grand Traverse Pathology, PLLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address. They are listed nearest first.
Clinicians, nearest first (13)
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 Pathology, PLLC's NPI number?
The NPI number for Grand Traverse Pathology, PLLC is 1306868427. It was assigned to this organization in the NPPES registry on July 25, 2006.
Where is Grand Traverse Pathology, PLLC located?
Grand Traverse Pathology, PLLC is located at 1105 6th St, Traverse City, MI 49684. The listed phone number is (231) 935-0499.
What is Grand Traverse Pathology, PLLC's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Grand Traverse Pathology, PLLC enrolled in Medicare?
Yes. Grand Traverse Pathology, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Traverse Pathology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Pathology, reassign their Medicare billing to Grand Traverse Pathology, PLLC. 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. Of these, 12 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Grand Traverse Pathology, PLLC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Grand Traverse Pathology, 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 Grand Traverse Pathology, PLLC was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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 Pathology, Pllc · NPI 1306868427
Anatomic Pathology & Clinical Pathology organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1306868427 (Entity type: Organization)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **Organization subpart:** No
- **Authorized official:** Amy Ferguson, PRESIDENT
## Practice location
- **Address:** 1105 6TH ST, Traverse City, MI 49684-2345
- **Phone:** (231) 935-0499
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R); 12 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2026
- **Other identifiers:** Other 53481A (MI); Other CB1092 (MI); Other 018175 (MI); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1306868427) · Data from the CMS NPPES public registry.