NORTHERN ROOTS MEDICAL ASSOCIATES P.L.L.C.
NPI 1528925971
Family Medicine in Traverse City, MI
About Northern Roots Medical Associates P.l.l.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHERN ROOTS MEDICAL ASSOCIATES P.L.L.C. (NPI 1528925971), doing business as Northern Roots Wellness And Medicine, is a healthcare organization registered as a family medicine in Traverse City, Michigan and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Hannah Wilson, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 23D2334444
Northern Roots Medical Associates PLLC · Traverse City, 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 Northern Roots Medical Associates P.L.L.C.'s NPI number?
The NPI number for Northern Roots Medical Associates P.L.L.C. is 1528925971. It was assigned to this organization in the NPPES registry on January 7, 2026. The provider is doing business as Northern Roots Wellness and Medicine.
Where is Northern Roots Medical Associates P.L.L.C. located?
Northern Roots Medical Associates P.L.L.C. is located at 1396 Douglas Dr Ste 22C, Traverse City, MI 49696. The listed phone number is (231) 440-9956.
What is Northern Roots Medical Associates P.L.L.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Northern Roots Medical Associates P.L.L.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2334444) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Northern Roots Medical Associates P.L.L.C. was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Northern Roots Medical Associates P.l.l.c. · NPI 1528925971
Family Medicine organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since January 7, 2026.
## Identity
- **NPI:** 1528925971 (Entity type: Organization)
- **Enumerated:** January 7, 2026
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Northern Roots Wellness and Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Hannah Wilson, MANAGER
## Practice location
- **Address:** 1396 DOUGLAS DR, STE 22C, Traverse City, MI 49696-8981
- **Phone:** (231) 440-9956
## Record status
- **NPPES last updated:** January 7, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528925971) · Data from the CMS NPPES public registry.