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ELEVATE MEDICAL SPA LLC
NPI 1609552173
Nurse Practitioner in Petoskey, MI

Active since June 27, 2023
2230 E MITCHELL RD STE A, PETOSKEY, MI 49770(231) 622-8103 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2026, Jul 8, 2025, Nov 20, 2023 (3 updates tracked since 2023).

About Elevate Medical Spa Llc NPPES

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

ELEVATE MEDICAL SPA LLC (NPI 1609552173), doing business as Elevate Medical Aesthetics And Wellness, is a healthcare organization registered as a nurse practitioner in Petoskey, Michigan and active in the NPI registry since June 2023. The organization lists Martha Jean Goetz, Owner, as its authorized official.

NPPES Registry Identity

NPI1609552173
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameELEVATE MEDICAL SPA LLC
Location Address2230 E MITCHELL RD STE APetoskey, MI 49770-6601
Mailing Address2230 E Mitchell Rd Ste APetoskey, MI 49770-6601 · (231) 622-8103 · Fax (949) 695-2102
Phone(231) 622-8103
Organization SubpartNo
Authorized OfficialMartha Jean GoetzOwner · (231) 622-8103
Enumeration DateJune 27, 2023
Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1609552173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2230 E MITCHELL RD STE A, Petoskey, MI 49770
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Other Names 1

Doing Business AsElevate Medical Aesthetics And Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGUS G GOETZ III D.O
Orthopaedic Surgery
2230 E MITCHELL RD STE A
PETOSKEY, MI 49770
Emmet County (231) 622-8103
MS. MARTHA JEAN GOETZ FNP
Nurse Practitioner
2230 E MITCHELL RD STE A
PETOSKEY, MI 49770
Emmet County (231) 622-8103

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 Elevate Medical Spa LLC's NPI number?

The NPI number for Elevate Medical Spa LLC is 1609552173. It was assigned to this organization in the NPPES registry on June 27, 2023. The provider is doing business as Elevate Medical Aesthetics and Wellness.

Where is Elevate Medical Spa LLC located?

Elevate Medical Spa LLC is located at 2230 E Mitchell Rd Ste A, Petoskey, MI 49770. The listed phone number is (231) 622-8103.

What is Elevate Medical Spa LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Elevate Medical Spa LLC was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.