RAVENNA FAMILY PRACTICE, P.C.
NPI 1497928469
Family Medicine in Ravenna, MI

Q: What is Ravenna Family Practice, P.C.'s NPI number?

The NPI number for Ravenna Family Practice, P.C. is 1497928469. It was assigned to this organization in the NPPES registry on April 10, 2008.

Q: What is Ravenna Family Practice, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 10, 2008CLIA 23D0704669 · Waiver

12520 CROCKERY CREEK DR., RAVENNA, MI 49451(231) 853-2954(231) 853-6089 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ravenna Family Practice, P.c. NPPES

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

RAVENNA FAMILY PRACTICE, P.C. (NPI 1497928469) is a healthcare organization registered as a family medicine in Ravenna, Michigan and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Timothy Lee Beechnau, Owner, as its authorized official.

NPPES Registry Identity

NPI1497928469

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameRAVENNA FAMILY PRACTICE, P.C.

Location Address12520 CROCKERY CREEK DR.Ravenna, MI 49451

Mailing Address12520 Crockery Creek Dr.Ravenna, MI 49451 · (231) 853-2954 · Fax (231) 853-6089

Phone(231) 853-2954

Fax(231) 853-6089

Organization SubpartNo

Authorized OfficialTimothy Lee BeechnauOwner · (231) 853-2954

Enumeration DateApril 10, 2008

✔ NPI 1497928469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 008430

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.

12520 CROCKERY CREEK DR., Ravenna, MI 49451

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE26801MI

Medicaid4480790MI

Medicare PIN0N86270

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 of Waiver 23D0704669

Ravenna Family Practice PC · Ravenna, MI

Active · expires Aug 31, 2026

CLIA Number23D0704669

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorTimothy L. Beechnau

Laboratory Phone(616) 853-6089

Laboratory LocationRavenna Family Practice PC12520 Crockery Creek Dr PO Box 179, Ravenna, MI 49451

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY L BEECHNAU D.O.

Family Medicine

12520 CROCKERY CREEK DR.
RAVENNA, MI 49451

Muskegon County (231) 853-6725

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 Ravenna Family Practice, P.C.'s NPI number?

The NPI number for Ravenna Family Practice, P.C. is 1497928469. It was assigned to this organization in the NPPES registry on April 10, 2008.

Where is Ravenna Family Practice, P.C. located?

Ravenna Family Practice, P.C. is located at 12520 Crockery Creek Dr., Ravenna, MI 49451. The listed phone number is (231) 853-2954.

What is Ravenna Family Practice, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ravenna Family Practice, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0704669) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ravenna Family Practice, P.C. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ravenna Family Practice, 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 Ravenna Family Practice, P.C. was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.