RAVENNA FAMILY PRACTICE, P.C.
NPI 1497928469
Family Medicine in Ravenna, MI
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, 2028 and lists Timothy Lee Beechnau, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Ravenna Family Practice, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Ravenna Family Practice, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 of Waiver 23D0704669
Ravenna Family Practice PC · Ravenna, 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 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.
Is Ravenna Family Practice, P.C. enrolled in Medicare?
Yes. Ravenna Family Practice, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ravenna Family Practice, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Ravenna Family Practice, P.C., in Family Practice, General 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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.
# Ravenna Family Practice, P.c. · NPI 1497928469
Family Medicine organization in Ravenna, Michigan. Organization record, active in the CMS NPPES registry since April 10, 2008.
## Identity
- **NPI:** 1497928469 (Entity type: Organization)
- **Enumerated:** April 10, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Timothy Beechnau, OWNER
## Practice location
- **Address:** 12520 CROCKERY CREEK DR., Ravenna, MI 49451
- **Phone:** (231) 853-2954 · **Fax:** (231) 853-6089
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), General Practice (1), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2008
- **Other identifiers:** Medicare UPIN E26801 (MI); Medicaid 4480790 (MI); Medicare PIN 0N86270
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497928469) · Data from the CMS NPPES public registry.