LARYN C KENWABIKISE PA-C
NPI 1760293641
Physician Assistant - Medical in Traverse City, MI

Active since January 18, 2025PECOS EnrolledAccepts Medicare Assignment
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684(231) 392-0640 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Laryn C Kenwabikise Pa-c NPPES

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

LARYN C KENWABIKISE PA-C (NPI 1760293641) is an individual medical provider in Traverse City, Michigan, licensed in Michigan (5601012983) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1760293641
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLARYN C KENWABIKISECredential: PA-C
Location Address1221 SIXTH ST STE 300Traverse City, MI 49684-2360
Mailing Address2098 Essex View Dr Apt 205Traverse City, MI 49685-8829 · (231) 878-7902
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 18, 2025
Last NPPES UpdateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1760293641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601012983
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 5601012983 (MI)
1221 SIXTH ST STE 300, Traverse City, MI 49684

Secondary Practice Location 1

Location 11105 Sixth StTraverse City, MI 49684-2386 · Phone (231) 392-0640

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laryn C Kenwabikise Pa-c 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 ID8729518469
PECOS Enrollment IDI20250210002801
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.

Hospital Affiliations CMS Care Compare 3

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

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

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.

Neurological Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Physician Assistant
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Neurological Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Vascular Neurology)
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Vascular Neurology)
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Specialist
1221 SIXTH ST STE 300
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 Laryn Kenwabikise's NPI number?

The NPI number for Laryn Kenwabikise is 1760293641. It was assigned to this individual provider in the NPPES registry on January 18, 2025.

Where is Laryn Kenwabikise located?

Laryn Kenwabikise practices at 1221 Sixth St Ste 300, Traverse City, MI 49684. The listed phone number is (231) 392-0640.

What is Laryn Kenwabikise's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Laryn Kenwabikise enrolled in Medicare?

Yes. Laryn Kenwabikise 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.

What insurance does Laryn Kenwabikise accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Laryn Kenwabikise 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 Laryn Kenwabikise affiliated with any hospitals?

According to CMS data, Laryn Kenwabikise is affiliated with Munson Medical Center, Munson Healthcare Otsego Memorial Hospital and Kalkaska Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Laryn Kenwabikise was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.