TRAVERSE HEALTH CLINIC
NPI 1417322884
Clinic/Center - Federally Qualified Health Center (FQHC) in Traverse City, MI

Active since December 10, 2015
105 HALL ST, TRAVERSE CITY, MI 49684(231) 935-4394(231) 935-3696 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2016, Dec 10, 2015 (2 updates tracked since 2015).

About Traverse Health Clinic NPPES

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

TRAVERSE HEALTH CLINIC (NPI 1417322884) is a healthcare organization registered as a federally qualified health center (fqhc) in Traverse City, Michigan and active in the NPI registry since December 2015. The organization lists Arlene J Brennan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417322884
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRAVERSE HEALTH CLINIC AND COALITION
Location Address105 HALL STTraverse City, MI 49684-2288
Mailing Address3155 Logan Valley RdTraverse City, MI 49684-4772 · (231) 935-0799 · Fax (231) 935-0501
Fax(231) 935-3696
Organization SubpartNo
Authorized OfficialArlene J BrennanCeo · (231) 935-0351
Enumeration DateDecember 10, 2015
Last NPPES UpdateJanuary 28, 20162 updates tracked since enumeration
✔ NPI 1417322884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
105 HALL ST, Traverse City, MI 49684

Other Names 1

Doing Business AsTraverse Health Clinic

Other Identifiers 2

Medicaid1669441457MI
Medicaid1265517494MI

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, 17 practice 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)

Clinical Social Worker
NPI 1649825043
221 GARLAND ST STE J
Traverse City, MI 49684
(231) 685-7198
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1093257677
415 CASS ST SUITES 2A & 2D
Traverse City, MI 49684
(231) 346-5216
✔ PECOS0.5 mi
Family Practice
NPI 1497763809
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1265517494
4020 COPPER VW STE 104
Traverse City, MI 49684
(231) 421-6921
✔ PECOS1.9 mi
Nurse Practitioner
NPI 1134675192
3155 LOGAN VALLEY RD
Traverse City, MI 49684
(402) 677-9083
✔ PECOS2.3 mi
Family Practice
NPI 1972680411
3147 LOGAN VALLEY RD
Traverse City, MI 49684
(231) 935-0810
✔ PECOS2.3 mi
Nurse Practitioner
NPI 1255702486
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS2.6 mi
Clinical Social Worker
NPI 1154531648
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS✔ Accepts Medicare2.6 mi
Family Practice
NPI 1285792754
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1275624462
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS2.6 mi
Mental Health Counselor
NPI 1447637764
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1386008654
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS✔ Accepts Medicare2.6 mi
Clinical Social Worker
NPI 1306300587
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1801361407
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 935-0799
✔ PECOS✔ Accepts Medicare2.6 mi
Family Practice
NPI 1568091874
1719 S GARFIELD AVE
Traverse City, MI 49686
(231) 938-0799
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1033480769
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-7142
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1215657333
664 CLYDE LEE DR
Traverse City, MI 49696
(231) 818-1656
✔ PECOS6.2 mi
Nurse Practitioner
NPI 1053931899
3235 N WELLNESS DR STE 120B
Holland, MI 49424
(616) 399-9522
✔ PECOS✔ Accepts Medicare136 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 1417322884. It was assigned to this organization in the NPPES registry on December 10, 2015. 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 105 Hall St, Traverse City, MI 49684. The listed phone number is (231) 935-4394.

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, 17 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Traverse Health Clinic And Coalition was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.