TRAVERSE HEALTH CLINIC
NPI 1407309685
Clinic/Center - Federally Qualified Health Center (FQHC) in Traverse City, MI

Active since July 25, 2016
1719 S GARFIELD AVE, TRAVERSE CITY, MI 49686(231) 935-0799 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2023, Aug 17, 2022 (2 updates tracked since 2022).

About Traverse Health Clinic NPPES

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

TRAVERSE HEALTH CLINIC (NPI 1407309685) is a healthcare organization registered as a federally qualified health center (fqhc) in Traverse City, Michigan and active in the NPI registry since July 2016. The organization lists Casey Kandow, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407309685
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRAVERSE HEALTH CLINIC AND COALITION
Location Address1719 S GARFIELD AVETraverse City, MI 49686-4337
Mailing Address1719 S Garfield AveTraverse City, MI 49686-4337 · (231) 935-0799 · Fax (231) 935-0962
Organization SubpartNo
Authorized OfficialCasey KandowCeo · (231) 935-0799
Enumeration DateJuly 25, 2016
Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1407309685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
1719 S GARFIELD AVE, Traverse City, MI 49686

Other Names 1

Doing Business AsTraverse Health Clinic

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)

Traverse Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Traverse Health Clinic, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 17 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner9
Family Practice4
Clinical Social Worker3
Mental Health Counselor2

Clinicians, nearest first (18)

Nurse Practitioner
NPI 1255702486
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOSSame address
Clinical Social Worker
NPI 1154531648
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1285792754
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275624462
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOSSame address
Mental Health Counselor
NPI 1447637764
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOSSame address
Nurse Practitioner
NPI 1386008654
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1306300587
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOSSame address
Nurse Practitioner
NPI 1801361407
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1568091874
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 938-0799
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1972680411
3147 LOGAN VALLEY RD
Traverse City, MI 49684
(231) 935-0810
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1134675192
3155 LOGAN VALLEY RD
Traverse City, MI 49684
(402) 677-9083
✔ PECOS1.2 mi
Mental Health Counselor
NPI 1093257677
415 CASS ST SUITES 2A & 2D
Traverse City, MI 49684
(231) 346-5216
✔ PECOS2.1 mi
Clinical Social Worker
NPI 1649825043
221 GARLAND ST STE J
Traverse City, MI 49684
(231) 685-7198
✔ PECOS2.5 mi
Nurse Practitioner
NPI 1265517494
4020 COPPER VW STE 104
Traverse City, MI 49684
(231) 421-6921
✔ PECOS3.0 mi
Family Practice
NPI 1497763809
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1215657333
664 CLYDE LEE DR
Traverse City, MI 49696
(231) 818-1656
✔ PECOS4.2 mi
Nurse Practitioner
NPI 1033480769
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-7142
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1053931899
3235 N WELLNESS DR STE 120B
Holland, MI 49424
(616) 399-9522
✔ PECOS✔ Accepts Medicare134 mi

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 Traverse Health Clinic And Coalition's NPI number?

The NPI number for Traverse Health Clinic And Coalition is 1407309685. It was assigned to this organization in the NPPES registry on July 25, 2016. The provider is doing business as Traverse Health Clinic.

Where is Traverse Health Clinic And Coalition located?

Traverse Health Clinic And Coalition is located at 1719 S Garfield Ave, Traverse City, MI 49686. The listed phone number is (231) 935-0799.

What is Traverse Health Clinic And Coalition's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Traverse Health Clinic And Coalition enrolled in Medicare?

Yes. Traverse Health Clinic And Coalition is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Traverse Health Clinic And Coalition?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Traverse Health Clinic And Coalition. 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 Nurse Practitioner (9), Family Practice (4) and Clinical Social Worker (3). Of these, 9 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Traverse Health Clinic And Coalition accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Traverse Health Clinic And Coalition 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 Traverse Health Clinic And Coalition was last updated on November 21, 2023. 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.