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CRYSTAL LAKE CLINIC, PC
NPI 1679844849
Family Medicine in Traverse City, MI

Active since January 20, 2012
5191 ROSEWOOD DR, TRAVERSE CITY, MI 49685(231) 882-9661 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Lake Clinic, Pc NPPES

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

CRYSTAL LAKE CLINIC, PC (NPI 1679844849) is a healthcare organization registered as a family medicine in Traverse City, Michigan and active in the NPI registry since January 2012. The organization lists Richard C Nielsen, President, as its authorized official.

NPPES Registry Identity

NPI1679844849
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRYSTAL LAKE CLINIC, PC
Location Address5191 ROSEWOOD DRTraverse City, MI 49685
Mailing Address6227 Frankfort HwyBenzonia, MI 49616-8632 · (231) 882-9661
Phone(231) 882-9661
Organization SubpartNo
Authorized OfficialRichard C NielsenPresident · (231) 882-9661
Enumeration DateJanuary 20, 2012
Last NPPES UpdateMay 2, 2017
✔ NPI 1679844849 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.
5191 ROSEWOOD DR, Traverse City, MI 49685
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

CATHERINE ANN VEESER PT
Physical Therapist
5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
Grand Traverse County (231) 946-1979
MRS. TIFFANY NICOLE BROERING-ROBBINS DPT, MA
Physical Therapist
5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
Grand Traverse County (231) 946-1979
ABIGAIL GRIFFIN OTD, OTR/L
Occupational Therapist
5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
Grand Traverse County (231) 946-1979
DANIELLE EMILY KOCH NP
Nurse Practitioner (Family)
5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
Grand Traverse County (231) 922-0667
KAYLA VAN ACKER DPT
Physical Therapist
5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
Grand Traverse County (231) 946-1979
DR. ARIANNA E APELGREN PERRA PSY.D.
Psychologist (Clinical)
5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
Grand Traverse County (616) 840-7269
DR. MITCHELL S STUCK D.O.
Family Medicine
5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
Grand Traverse County (231) 946-1979
KAITLYN YEAGLEY MS, OTR/L
Occupational Therapist
5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
Grand Traverse County (231) 946-1979

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 Crystal Lake Clinic, PC's NPI number?

The NPI number for Crystal Lake Clinic, PC is 1679844849. It was assigned to this organization in the NPPES registry on January 20, 2012.

Where is Crystal Lake Clinic, PC located?

Crystal Lake Clinic, PC is located at 5191 Rosewood Dr, Traverse City, MI 49685. The listed phone number is (231) 882-9661.

What is Crystal Lake Clinic, PC's specialty?

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

What insurance does Crystal Lake Clinic, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Crystal Lake Clinic, 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 Crystal Lake Clinic, PC was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.