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MCLAREN NORTHERN MICHIGAN FAMILY MEDICINE
NPI 1760004733
Clinic/Center - Rural Health in Petoskey, MI

Active since May 13, 2020
820 ARLINGTON AVE, PETOSKEY, MI 49770(231) 487-3955(231) 487-1737 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mclaren Northern Michigan Family Medicine NPPES

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

MCLAREN NORTHERN MICHIGAN FAMILY MEDICINE (NPI 1760004733) is a healthcare organization registered as a rural health in Petoskey, Michigan and active in the NPI registry since May 2020. The organization lists Tara Soules, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1760004733
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMCLAREN CENTRAL MICHIGAN
Location Address820 ARLINGTON AVEPetoskey, MI 49770-2469
Mailing Address1221 South DrMt Pleasant, MI 48858-3257 · (989) 772-6700
Phone(231) 487-3955
Fax(231) 487-1737
Organization SubpartNo
Authorized OfficialTara SoulesVp/cfo · (989) 772-6818
Enumeration DateMay 13, 2020
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
✔ NPI 1760004733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
820 ARLINGTON AVE, Petoskey, MI 49770
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Other Names 1

Doing Business AsMclaren Northern Michigan Family Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mclaren Northern Michigan Family Medicine 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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20200819000768Part A · Rural Health ClinicDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 11

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

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
820 ARLINGTON AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4685
MEGHAN A RADOCY DPT
Physical Therapist
820 ARLINGTON AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4786
DR. MICHAEL KOSKUS PH.D.
Audiologist
820 ARLINGTON AVE
PETOSKEY, MI 49770
Emmet County (231) 348-3666
MRS. CHRISTINA MAE CALCATERRA MPT
Physical Therapist
820 ARLINGTON AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4200
MRS. MARCY S DURIE N.P.-C
Nurse Practitioner (Family)
820 ARLINGTON AVE
PETOSKEY, MI 49770
Emmet County (231) 487-9355
BRENNA SELLMAN
Physical Therapist
820 ARLINGTON AVE
PETOSKEY, MI 49770
Emmet County (231) 487-7486
KAYLA IRLAND
Physical Therapy Assistant
820 ARLINGTON AVE
PETOSKEY, MI 49770
Emmet County (231) 487-7486
MICHAEL J CARMODY
Physical Therapist
820 ARLINGTON AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4200

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 Mclaren Central Michigan's NPI number?

The NPI number for Mclaren Central Michigan is 1760004733. It was assigned to this organization in the NPPES registry on May 13, 2020. The provider is doing business as Mclaren Northern Michigan Family Medicine.

Where is Mclaren Central Michigan located?

Mclaren Central Michigan is located at 820 Arlington Ave, Petoskey, MI 49770. The listed phone number is (231) 487-3955.

What is Mclaren Central Michigan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Mclaren Central Michigan enrolled in Medicare?

Yes. Mclaren Central Michigan is registered in the Medicare PECOS enrollment system.

When is Mclaren Central Michigan's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Michigan, Rural Health Clinic) 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.

What insurance does Mclaren Central Michigan accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mclaren Central Michigan 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 Mclaren Central Michigan was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.