DR. JONATHAN EDWARD BEAULAC D.O.
NPI 1508132283
Internal Medicine in Traverse City, MI
About Dr. Jonathan Edward Beaulac D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN EDWARD BEAULAC D.O. (NPI 1508132283) is an individual internal medicine provider in Traverse City, Michigan, licensed in Michigan (5101019890) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jonathan Edward Beaulac D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Jonathan Beaulac reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 191 clinicians in this Medicare group
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 492 clinicians in this Medicare group
Traverse City, MI 49686
- Reassigned Medicare billing, Michigan enrollment
- 24 clinicians in this Medicare group
Bruce, MI 48065
- Reassigned Medicare billing, Michigan enrollment
- 556 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Munson Medical Center
Acute Care Hospitals · Traverse City, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
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 Jonathan Beaulac's NPI number?
The NPI number for Jonathan Beaulac is 1508132283. It was assigned to this individual provider in the NPPES registry on March 28, 2012.
Where is Jonathan Beaulac located?
Jonathan Beaulac practices at 5041 N Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 935-0600.
What is Jonathan Beaulac's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jonathan Beaulac enrolled in Medicare?
Yes. Jonathan Beaulac is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jonathan Beaulac's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Beaulac reassigns Medicare benefits to 4 organizations: Munson Medical Group (Traverse City, MI), Munson Medical Center (Traverse City, MI), Munson Home Care (Traverse City, MI) and Henry Ford Macomb Hospital Corporation (Bruce, MI). Each 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 Jonathan Beaulac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Beaulac accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jonathan Beaulac 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.
Is Jonathan Beaulac affiliated with any hospitals?
According to CMS data, Jonathan Beaulac is affiliated with Munson Medical Center.
When was this NPI record last updated?
The NPPES record for Jonathan Beaulac was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Dr. Jonathan Edward Beaulac, D.O. · NPI 1508132283
Internal Medicine physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since March 28, 2012.
## Identity
- **NPI:** 1508132283 (Entity type: Individual)
- **Enumerated:** March 28, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 5101019890 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 5041 N ROYAL DR, Traverse City, MI 49684-6986
- **Phone:** (231) 935-0600 · **Fax:** (231) 935-0613
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Munson Medical Group (NPI 1326801440, Traverse City, MI); Munson Medical Center (NPI 1326645698, Traverse City, MI); Munson Home Care (NPI 1326002577, Traverse City, MI); Henry Ford Macomb Hospital Corporation (NPI 1568508059, Bruce, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2012
## Record status
- **NPPES last updated:** April 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508132283) · Data from the CMS NPPES public registry.