INTERLOCHEN EMERGENCY GROUP, P.C.
NPI 1336821495
Emergency Medicine in Traverse City, MI

Active since August 07, 2023
1105 6TH ST, TRAVERSE CITY, MI 49684(231) 935-5000 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Aug 7, 2023 (2 updates tracked since 2023).

About Interlochen Emergency Group, P.c. NPPES

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

INTERLOCHEN EMERGENCY GROUP, P.C. (NPI 1336821495) is a healthcare organization registered as an emergency medicine in Traverse City, Michigan and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Frankfort and lists Kenneth Heinrich, President/owner, as its authorized official.

NPPES Registry Identity

NPI1336821495
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameINTERLOCHEN EMERGENCY GROUP, P.C.
Location Address1105 6TH STTraverse City, MI 49684-2386
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Organization SubpartNo
Authorized OfficialKenneth HeinrichPresident/owner · (337) 609-1221
Enumeration DateAugust 7, 2023
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1336821495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1105 6TH ST, Traverse City, MI 49684

Secondary Practice Location 1

Location 1224 Park AveFrankfort, MI 49635-9036 · Phone (231) 352-2200

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Interlochen Emergency Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

60

Medicare enrollment records show 60 clinicians reassign Medicare billing to Interlochen Emergency Group, P.C., which bills Medicare for the services they deliver. Of these, 16 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Emergency Medicine41
Nurse Practitioner19

Nearest to this location (20)

See all 60
Emergency Medicine
NPI 1710305958
1105 SIXTH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1235383324
1105 6TH ST
Traverse City, MI 49684
(231) 620-1867
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053713479
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922151158
1105 6TH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1407110174
1105 SIXTH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1508448531
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1619973153
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528467669
1105 SIXTH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1245594910
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831521996
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1225477243
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1194921387
1105 SIXTH ST
Traverse City, MI 49684
(231) 395-6333
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1972711653
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1467407924
1105 SIXTH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1548642465
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043059249
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1285677179
1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1457589053
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1407038151
10223 E CHERRY BEND RD
Traverse City, MI 49684
(231) 929-7933
✔ PECOS✔ Accepts Medicare2.2 mi
Emergency Medicine
NPI 1184676181
550 MUNSON AVE
Traverse City, MI 49686
(231) 935-8710
✔ PECOS✔ Accepts Medicare3.2 mi
See all 60 clinicians

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 Interlochen Emergency Group, P.C.'s NPI number?

The NPI number for Interlochen Emergency Group, P.C. is 1336821495. It was assigned to this organization in the NPPES registry on August 7, 2023.

Where is Interlochen Emergency Group, P.C. located?

Interlochen Emergency Group, P.C. is located at 1105 6th St, Traverse City, MI 49684. The listed phone number is (231) 935-5000.

What is Interlochen Emergency Group, P.C.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Interlochen Emergency Group, P.C. enrolled in Medicare?

Yes. Interlochen Emergency Group, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Interlochen Emergency Group, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 2 Medicare specialties reassign their Medicare billing to Interlochen Emergency Group, P.C.. 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 Emergency Medicine (41) and Nurse Practitioner (19). Of these, 16 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Interlochen Emergency Group, P.C. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Interlochen Emergency Group, P.C. 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 Interlochen Emergency Group, P.C. was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.