ELK RAPIDS MEDICAL CLINIC, P.C.
NPI 1639351984
Family Medicine in Elk Rapids, MI
About Elk Rapids Medical Clinic, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELK RAPIDS MEDICAL CLINIC, P.C. (NPI 1639351984) is a healthcare organization registered as a family medicine in Elk Rapids, Michigan and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Ann K Kuenker, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
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)
Elk Rapids Medical Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Elk Rapids Medical Clinic, P.C., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 of Waiver 23D2072593
Elk Rapids Medical Clinic, PC · Elk Rapids, 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 Elk Rapids Medical Clinic, P.C.'s NPI number?
The NPI number for Elk Rapids Medical Clinic, P.C. is 1639351984. It was assigned to this organization in the NPPES registry on November 28, 2007.
Where is Elk Rapids Medical Clinic, P.C. located?
Elk Rapids Medical Clinic, P.C. is located at 516 Bridge St Post Office Box 119, Elk Rapids, MI 49629. The listed phone number is (231) 264-0700.
What is Elk Rapids Medical Clinic, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elk Rapids Medical Clinic, P.C. enrolled in Medicare?
Yes. Elk Rapids Medical Clinic, P.C. is registered in the Medicare PECOS enrollment system.
When is Elk Rapids Medical Clinic, P.C.'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 January 31, 2027. 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 Elk Rapids Medical Clinic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Elk Rapids Medical Clinic, P.C., in Family Practice and Nurse Practitioner. 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.
Does Elk Rapids Medical Clinic, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2072593) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Elk Rapids Medical Clinic, P.C. accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Elk Rapids Medical Clinic, P.C. 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 Elk Rapids Medical Clinic, P.C. was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Elk Rapids Medical Clinic, P.c. · NPI 1639351984
Family Medicine organization in Elk Rapids, Michigan. Organization record, active in the CMS NPPES registry since November 28, 2007.
## Identity
- **NPI:** 1639351984 (Entity type: Organization)
- **Enumerated:** November 28, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ann Kuenker, PRESIDENT/OWNER
## Practice location
- **Address:** 516 BRIDGE ST, POST OFFICE BOX 119, Elk Rapids, MI 49629-9701
- **Phone:** (231) 264-0700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 28, 2007
- **Other identifiers:** Other 0850500144 (MI); Medicare UPIN E25499; Medicare PIN ON49650; and 1 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1639351984) · Data from the CMS NPPES public registry.