GRAND TRAVERSE WOMENS CLINIC PLLC
NPI 1336194166
Obstetrics & Gynecology - Obstetrics in Traverse City, MI
About Grand Traverse Womens Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND TRAVERSE WOMENS CLINIC PLLC (NPI 1336194166) is a healthcare organization registered as an obstetrics in Traverse City, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through July 4, 2027 and lists Timothy P Madion, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 Womens Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Grand Traverse Womens Clinic PLLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 21Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0988684
Grand Traverse Women's Clinic · Traverse City, MIFrequently 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 Womens Clinic PLLC's NPI number?
The NPI number for Grand Traverse Womens Clinic PLLC is 1336194166. It was assigned to this organization in the NPPES registry on May 23, 2006.
Where is Grand Traverse Womens Clinic PLLC located?
Grand Traverse Womens Clinic PLLC is located at 1200 6th St Ste 400, Traverse City, MI 49684. The listed phone number is (231) 392-0650.
What is Grand Traverse Womens Clinic PLLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.
Is Grand Traverse Womens Clinic PLLC enrolled in Medicare?
Yes. Grand Traverse Womens Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Traverse Womens Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 4 Medicare specialties reassign their Medicare billing to Grand Traverse Womens Clinic 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. The largest specialties are Obstetrics/Gynecology (11), Certified Nurse Midwife (CNM) (6) and Nurse Practitioner (3). Of these, 11 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Grand Traverse Womens Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0988684) is associated with this NPI, valid through July 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Grand Traverse Womens Clinic PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Grand Traverse Womens Clinic 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 Womens Clinic PLLC was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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 Womens Clinic Pllc · NPI 1336194166
Obstetrics organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1336194166 (Entity type: Organization)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Obstetrics & Gynecology - Obstetrics · taxonomy 207VX0000X
- **Organization subpart:** No
- **Authorized official:** Timothy Madion, PRESIDENT
## Practice location
- **Address:** 1200 6TH ST, STE 400, Traverse City, MI 49684-2369
- **Phone:** (231) 392-0650 · **Fax:** (231) 392-0665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (11), Certified Nurse Midwife (CNM) (6), Nurse Practitioner (3); 11 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1336194166/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2014
- **Other identifiers:** Medicare PIN 0N30860 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336194166) · Data from the CMS NPPES public registry.