DR. KRISTEN DUMAN SCHOLTEN M.D.
NPI 1689036733
Obstetrics & Gynecology in Traverse City, MI

Active since March 27, 2016PECOS EnrolledAccepts Medicare Assignment
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-5000 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2025, Dec 8, 2022, Sep 21, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Kristen Duman Scholten M.d. NPPES

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

DR. KRISTEN DUMAN SCHOLTEN M.D. (NPI 1689036733) is an individual obstetrics & gynecology provider in Traverse City, Michigan, licensed in Michigan (4301502484) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains a secondary practice location in Ypsilanti.

NPPES Registry Identity

NPI1689036733
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KRISTEN DUMAN SCHOLTENCredential: M.D.
Location Address1105 SIXTH STTraverse City, MI 49684-2345
Mailing Address1105 Sixth StTraverse City, MI 49684-2345 · (231) 935-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 27, 2016
Last NPPES UpdateJuly 10, 20256 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1689036733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301502484
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1105 SIXTH ST, Traverse City, MI 49684

Secondary Practice Location 1

Location 15333 McAuley Dr Rm 2110, Academic Ob/GynYpsilanti, MI 48197-1097 · Phone (734) 712-3967

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kristen Duman Scholten M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547556656
PECOS Enrollment IDI20200819002315
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Kristen Scholten reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1105 6TH ST
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 492 clinicians in this Medicare group
Obstetrics
1200 6TH ST, STE 400
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group
General Acute Care Hospital
1221 SOUTH DR
Mt Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 321 clinicians in this Medicare group
Family Medicine
950 S BAILEY AVE
South Haven, MI 49090
  • Reassigned Medicare billing, Michigan enrollment
  • 190 clinicians in this Medicare group
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
Internal Medicine
451 HEALTH PKWY
Paw Paw, MI 49079
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1962508259 (Michigan)
  • 251 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Nurse Practitioner (Neonatal, Critical Care)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Obstetrics & Gynecology (Gynecologic Oncology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Occupational Therapist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Speech-Language Pathologist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pathology (Anatomic Pathology & Clinical Pathology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684

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 Kristen Scholten's NPI number?

The NPI number for Kristen Scholten is 1689036733. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Where is Kristen Scholten located?

Kristen Scholten practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 935-5000.

What is Kristen Scholten's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kristen Scholten enrolled in Medicare?

Yes. Kristen Scholten is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kristen Scholten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Scholten reassigns Medicare benefits to 6 organizations: Munson Medical Center (Traverse City, MI), Grand Traverse Womens Clinic PLLC (Traverse City, MI), Mclaren Central Michigan (Mt Pleasant, MI), Bronson South Haven Hospital (South Haven, MI), Bronson Methodist Hospital (Kalamazoo, MI) and 1 more organization, listed in the Medicare section above. Each 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 Kristen Scholten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Scholten accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kristen Scholten 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.

Is Kristen Scholten affiliated with any hospitals?

According to CMS data, Kristen Scholten is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Scholten was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.