CRYSTAL LAKE CLINIC P.C.
NPI 1770537748
Family Medicine in Frankfort, MI

Active since May 22, 2006CLIA 23D0995132 · Waiver
826 FOREST AVE, FRANKFORT, MI 49635(231) 352-5285 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Lake Clinic P.c. NPPES

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

CRYSTAL LAKE CLINIC P.C. (NPI 1770537748) is a healthcare organization registered as a family medicine in Frankfort, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Richard C Nielsen, President, as its authorized official.

NPPES Registry Identity

NPI1770537748
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRYSTAL LAKE CLINIC P.C.
Location Address826 FOREST AVEFrankfort, MI 49635-9003
Mailing Address6227 Frankfort HwyBenzonia, MI 49616-9654 · (231) 882-9661 · Fax (231) 882-9616
Organization SubpartNo
Authorized OfficialRichard C NielsenPresident · (231) 882-9661
Enumeration DateMay 22, 2006
Last NPPES UpdateJanuary 27, 2011
NPI 1770537748 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.
826 FOREST AVE, Frankfort, MI 49635

Other Identifiers 1

Medicare PIN0N38430MI

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

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 23D0995132

Crystal Lake Clinics PC - Frankfort · Frankfort, MI
Active · expires Jan 9, 2028
CLIA Number23D0995132
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorJacob G. Flynn
Laboratory Phone(231) 352-5285
Laboratory LocationCrystal Lake Clinics PC - Frankfort826 Forest Avenue, Frankfort, MI 49635
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
826 FOREST AVE
FRANKFORT, MI 49635
Physician Assistant
826 FOREST AVE
FRANKFORT, MI 49635
Family Medicine
826 FOREST AVE
FRANKFORT, MI 49635

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 P.C.'s NPI number?

The NPI number for Crystal Lake Clinic P.C. is 1770537748. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Crystal Lake Clinic P.C. located?

Crystal Lake Clinic P.C. is located at 826 Forest Ave, Frankfort, MI 49635. The listed phone number is (231) 352-5285.

What is Crystal Lake Clinic P.C.'s specialty?

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

Does Crystal Lake Clinic P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0995132) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crystal Lake Clinic P.C. 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 list Crystal Lake 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 Crystal Lake Clinic P.C. was last updated on January 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.