GREAT LAKES FOOT & ANKLE SPECIALIST, PLLC
NPI 1548450414
Clinic/Center - Podiatric in Traverse City, MI
About Great Lakes Foot & Ankle Specialist, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES FOOT & ANKLE SPECIALIST, PLLC (NPI 1548450414) is a healthcare organization registered as a podiatric in Traverse City, Michigan and active in the NPI registry since July 2007. The organization lists Jeffrey A Szczepanski, Physician/ Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Lakes Foot & Ankle Specialist, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Great Lakes Foot & Ankle Specialist, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Great Lakes Foot & Ankle Specialist, PLLC's NPI number?
The NPI number for Great Lakes Foot & Ankle Specialist, PLLC is 1548450414. It was assigned to this organization in the NPPES registry on July 27, 2007.
Where is Great Lakes Foot & Ankle Specialist, PLLC located?
Great Lakes Foot & Ankle Specialist, PLLC is located at 10161 E Pickwick Ct Ste E, Traverse City, MI 49684. The listed phone number is (231) 935-8800.
What is Great Lakes Foot & Ankle Specialist, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Great Lakes Foot & Ankle Specialist, PLLC enrolled in Medicare?
Yes. Great Lakes Foot & Ankle Specialist, PLLC is registered in the Medicare PECOS enrollment system.
When is Great Lakes Foot & Ankle Specialist, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Great Lakes Foot & Ankle Specialist, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Great Lakes Foot & Ankle Specialist, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Great Lakes Foot & Ankle Specialist, PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Foot & Ankle Specialist, PLLC 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 Great Lakes Foot & Ankle Specialist, PLLC was last updated on April 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Great Lakes Foot & Ankle Specialist, Pllc · NPI 1548450414
Podiatric organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since July 27, 2007.
## Identity
- **NPI:** 1548450414 (Entity type: Organization)
- **Enumerated:** July 27, 2007
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Szczepanski, PHYSICIAN/ OWNER
## Practice location
- **Address:** 10161 E PICKWICK CT STE E, Traverse City, MI 49684-5239
- **Phone:** (231) 935-8800 · **Fax:** (231) 935-8801
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1548450414) · Data from the CMS NPPES public registry.