LEELANAU FAMILY PRACTICE PC
NPI 1386132090
Family Medicine in Suttons Bay, MI
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
Specialties & Licenses 2
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)
Leelanau Family Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Leelanau Family Practice PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Suttons Bay, MI 49682
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) 23D2150033
Leelanau Family Practice · Suttons Bay, 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 Leelanau Family Practice PC's NPI number?
The NPI number for Leelanau Family Practice PC is 1386132090. It was assigned to this organization in the NPPES registry on April 27, 2018.
Where is Leelanau Family Practice PC located?
Leelanau Family Practice PC is located at 718 N Saint Joseph St Unit K1, Suttons Bay, MI 49682. The listed phone number is (231) 386-0088.
What is Leelanau Family Practice PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Leelanau Family Practice PC enrolled in Medicare?
Yes. Leelanau Family Practice PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Leelanau Family Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Leelanau Family Practice PC, in Family Practice and Nurse Practitioner. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Leelanau Family Practice PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D2150033) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Leelanau Family Practice PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Leelanau Family Practice 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 Leelanau Family Practice PC was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Leelanau Family Practice Pc · NPI 1386132090
Family Medicine organization in Suttons Bay, Michigan. Organization record, active in the CMS NPPES registry since April 27, 2018.
## Identity
- **NPI:** 1386132090 (Entity type: Organization)
- **Enumerated:** April 27, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jessica Paquette, PHYSICIAN
## Practice location
- **Address:** 718 N SAINT JOSEPH ST UNIT K1, Suttons Bay, MI 49682-8422
- **Phone:** (231) 386-0088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1386132090) · Data from the CMS NPPES public registry.