FAMILY TREE MEDICAL ASSOCIATES PC
NPI 1518033976
Family Medicine in Hastings, MI

Active since November 28, 2006CLIA 23D0957967 · Microscopy
1375 W GREEN ST, SUITE 1, HASTINGS, MI 49058(269) 945-7497(269) 945-0214 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Tree Medical Associates Pc NPPES

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

FAMILY TREE MEDICAL ASSOCIATES PC (NPI 1518033976) is a healthcare organization registered as a family medicine in Hastings, Michigan and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through March 7, 2027 and lists Robert Troy Carlson, Co-owner Physician, as its authorized official.

NPPES Registry Identity

NPI1518033976
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY TREE MEDICAL ASSOCIATES PC
Location Address1375 W GREEN ST, SUITE 1Hastings, MI 49058-1718
Mailing Address1375 W Green St, Suite 1Hastings, MI 49058-1718 · (269) 945-7497 · Fax (269) 945-0214
Fax(269) 945-0214
Organization SubpartNo
Authorized OfficialRobert Troy CarlsonCo-owner Physician · (269) 945-7497
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1518033976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1375 W GREEN ST, Hastings, MI 49058

Other Identifiers 1

Medicare ID-Type UnspecifiedOM94420MI

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 MULTIPLE SINGLE SPECIALTY GROUP

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)

Family Tree Medical Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Family Tree Medical Associates PC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Family Practice
NPI 1396856910
1375 W GREEN ST SUITE 1
Hastings, MI 49058
(269) 945-7497
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1568573012
1375 W GREEN ST
Hastings, MI 49058
(269) 945-7497
✔ PECOS0.1 mi
Family Practice
NPI 1063096170
1375 W GREEN ST
Hastings, MI 49058
(269) 945-7497
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1316613888
1375 W GREEN ST
Hastings, MI 49058
(269) 945-7497
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1811362767
1375 W GREEN ST SUITE 1
Hastings, MI 49058
(269) 945-7497
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1942767470
1900 WEALTHY ST SE STE 100
Grand Rapids, MI 49506
(616) 267-7333
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1295982536
1241 E DYER RD STE 145
Santa Ana, CA 92705
(888) 306-0615
✔ PECOS✔ Accepts Medicare1,862 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 23D0957967

Family Tree Medical Associates · Hastings, MI
Active · expires Mar 7, 2027
CLIA Number23D0957967
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorMatthew R. Garber
Laboratory Phone(269) 945-7497
Laboratory LocationFamily Tree Medical Associates1375 W Green Street, Hastings, MI 49058
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Family Tree Medical Associates PC's NPI number?

The NPI number for Family Tree Medical Associates PC is 1518033976. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Family Tree Medical Associates PC located?

Family Tree Medical Associates PC is located at 1375 W Green St Suite 1, Hastings, MI 49058. The listed phone number is (269) 945-7497.

What is Family Tree Medical Associates PC's specialty?

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

Is Family Tree Medical Associates PC enrolled in Medicare?

Yes. Family Tree Medical Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Tree Medical Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Tree Medical Associates PC. 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 (5) and Family Practice (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Tree Medical Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0957967) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Tree Medical Associates PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Family Tree Medical Associates PC 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 Family Tree Medical Associates PC was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.