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FAMILY PRACTICE OF CADILLAC PC
NPI 1336250323
Family Medicine in Cadillac, MI

Active since August 31, 2006CLIA 23D0870035 · Microscopy
827 E DIVISION ST, CADILLAC, MI 49601(231) 775-9741 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Practice Of Cadillac Pc NPPES

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

FAMILY PRACTICE OF CADILLAC PC (NPI 1336250323) is a healthcare organization registered as a family medicine in Cadillac, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through November 27, 2027 and lists Carol Corwin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336250323
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY PRACTICE OF CADILLAC PC
Location Address827 E DIVISION STCadillac, MI 49601-2015
Mailing Address827 E Division StCadillac, MI 49601-2015
Phone(231) 775-9741
Organization SubpartNo
Authorized OfficialCarol CorwinOffice Manager · (231) 775-9741
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1336250323 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.
827 E DIVISION ST, Cadillac, MI 49601
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Other Identifiers 2

OtherCA0610MI · Railroad Medicare
Other080H36303MI · Blue Cross Blue Shield Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Family Practice Of Cadillac Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Family Practice Of Cadillac PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Kevin Anderson, M.D.
Family Practice
NPI 1942202916
827 E DIVISION ST
Cadillac, MI 49601
(231) 775-9741
✔ PECOS✔ Accepts MedicareSame address
Alicia Elmore, D.O.
Family Practice
NPI 1700887841
827 E DIVISION ST
Cadillac, MI 49601
(231) 775-9741
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Hicks, D.O.
Family Practice
NPI 1982959235
827 E DIVISION ST
Cadillac, MI 49601
(231) 775-9741
✔ PECOS✔ Accepts MedicareSame address
Helen Kiomento, MD
Family Practice
NPI 1316927106
827 E DIVISION ST
Cadillac, MI 49601
(231) 775-9741
✔ PECOS✔ Accepts MedicareSame address
Brandon Peltier, D.O.
Family Practice
NPI 1679566863
827 E DIVISION ST
Cadillac, MI 49601
(231) 775-9741
✔ PECOS✔ Accepts MedicareSame address
Sergei Shumaster
Family Practice
NPI 1366830606
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts Medicare37 mi

Source: 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) 23D0870035

Family Practice Of Cadillac, PC · Cadillac, MI
Active · expires Nov 27, 2027
CLIA Number23D0870035
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2025
Certificate Expiration DateNovember 27, 2027
Laboratory DirectorKevin E. Anderson MD
Laboratory Phone(616) 775-9741
Laboratory LocationFamily Practice Of Cadillac, PC827 E Division Street, Cadillac, MI 49601
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Family Practice Of Cadillac PC's NPI number?

The NPI number for Family Practice Of Cadillac PC is 1336250323. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Family Practice Of Cadillac PC located?

Family Practice Of Cadillac PC is located at 827 E Division St, Cadillac, MI 49601. The listed phone number is (231) 775-9741.

What is Family Practice Of Cadillac PC's specialty?

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

Is Family Practice Of Cadillac PC enrolled in Medicare?

Yes. Family Practice Of Cadillac PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Practice Of Cadillac PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Family Practice, reassign their Medicare billing to Family Practice Of Cadillac 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. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Practice Of Cadillac PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0870035) is associated with this NPI, valid through November 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Practice Of Cadillac PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Family Practice Of Cadillac 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 Family Practice Of Cadillac PC was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.