LEELANAU FAMILY PRACTICE PC
NPI 1386132090
Family Medicine in Suttons Bay, MI

Active since April 27, 2018CLIA 23D2150033 · Microscopy
718 N SAINT JOSEPH ST UNIT K1, SUTTONS BAY, MI 49682(231) 386-0088 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 23, 2024, Jul 15, 2024, Apr 27, 2018 (3 updates tracked since 2018).

About Leelanau Family Practice Pc NPPES

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

LEELANAU FAMILY PRACTICE PC (NPI 1386132090) is a healthcare organization registered as a family medicine in Suttons Bay, Michigan and active in the NPI registry since April 2018. The organization holds a CLIA Microscopy certificate valid through June 14, 2028 and lists Jessica M Paquette, Physician, as its authorized official.

NPPES Registry Identity

NPI1386132090
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEELANAU FAMILY PRACTICE PC
Location Address718 N SAINT JOSEPH ST UNIT K1Suttons Bay, MI 49682-8422
Mailing Address718 N Saint Joseph St Unit K1Suttons Bay, MI 49682-8422 · (231) 386-0068
Organization SubpartNo
Authorized OfficialJessica M PaquettePhysician · (231) 342-6596
Enumeration DateApril 27, 2018
Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
NPI 1386132090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
718 N SAINT JOSEPH ST UNIT K1, Suttons Bay, MI 49682

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2150033
Facility Type
Physician Office
Certificate Effective Date
June 15, 2026
Certificate Expiration Date
June 14, 2028
Laboratory Director
JESSICA M. PAQUETTE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Leelanau Family Practice Pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
718 N SAINT JOSEPH ST UNIT K1
SUTTONS BAY, MI 49682
Family Medicine
718 N SAINT JOSEPH ST UNIT K1
SUTTONS BAY, MI 49682

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386132090, enumerated as an "organization" on April 27, 2018.

The provider is located at 718 N SAINT JOSEPH ST UNIT K1 SUTTONS BAY, MI 49682 and the phone number is (231) 386-0088.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.