THIRLBY CLINIC PLC
NPI 1780676684
Internal Medicine in Traverse City, MI

Active since August 17, 2005CLIA 23D0381456 · Accreditation
4110 COPPER RIDGE DRIVE, STE 100, TRAVERSE CITY, MI 49684(231) 935-8950(231) 935-8868 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Thirlby Clinic Plc NPPES

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

THIRLBY CLINIC PLC (NPI 1780676684) is a healthcare organization registered as an internal medicine in Traverse City, Michigan and active in the NPI registry since August 2005. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Jamie Marie Schichtel, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1780676684
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTHIRLBY CLINIC PLC
Location Address4110 COPPER RIDGE DRIVE, STE 100Traverse City, MI 49684
Mailing Address4110 Copper Ridge Drive, Ste 100Traverse City, MI 49684 · (231) 935-8950 · Fax (231) 935-8868
Fax(231) 935-8868
Organization SubpartNo
Authorized OfficialJamie Marie SchichtelPractice Administrator · (231) 935-8929
Enumeration DateAugust 17, 2005
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
✔ NPI 1780676684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
4110 COPPER RIDGE DRIVE, Traverse City, MI 49684

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thirlby Clinic Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Thirlby Clinic Plc, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Internal Medicine8
Family Practice5

Clinicians, nearest first (13)

Internal Medicine
NPI 1578523700
5015 N ROYAL DRIVE
Traverse City, MI 49684
(231) 935-0850
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1700378494
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1174864383
3537 W FRONT ST STE I
Traverse City, MI 49684
(231) 935-8950
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1477514776
3537 W FRONT ST STE I
Traverse City, MI 49684
(231) 935-8950
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1376748525
3537 WEST FRONT STREET SUITE I
Traverse City, MI 49684
(231) 935-8950
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1255323309
3537 W FRONT ST SUITE I
Traverse City, MI 49684
(231) 935-8950
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1013909217
3537 W FRONT ST SUITE I
Traverse City, MI 49684
(231) 935-8950
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1629212816
1105 SIXTH ST
Traverse City, MI 49684
(231) 922-9270
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1669811949
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1316189467
1105 SIXTH ST
Traverse City, MI 49684
(231) 922-9270
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1548297765
10223 E CHERRY BEND RD
Traverse City, MI 49684
(231) 929-7933
✔ PECOS✔ Accepts Medicare3.4 mi
Family Practice
NPI 1164914214
550 MUNSON AVE
Traverse City, MI 49686
(231) 935-8686
✔ PECOS✔ Accepts Medicare3.9 mi
Family Practice
NPI 1508806118
872 MUNSON AVENUE SUITE D
Traverse City, MI 49686
(231) 922-0400
4.6 mi

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

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 Accreditation 23D0381456

Thirlby Clinic Laboratory · Traverse City, MI
Active · expires Dec 22, 2027
CLIA Number23D0381456
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorAndrew Adams
Laboratory Phone(231) 935-8936
Laboratory LocationThirlby Clinic Laboratory4110 Copper Ridge Drive Suite 100, Traverse City, MI 49684
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Thirlby Clinic Plc's NPI number?

The NPI number for Thirlby Clinic Plc is 1780676684. It was assigned to this organization in the NPPES registry on August 17, 2005.

Where is Thirlby Clinic Plc located?

Thirlby Clinic Plc is located at 4110 Copper Ridge Drive Ste 100, Traverse City, MI 49684. The listed phone number is (231) 935-8950.

What is Thirlby Clinic Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thirlby Clinic Plc enrolled in Medicare?

Yes. Thirlby Clinic Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thirlby Clinic Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Thirlby Clinic Plc. A 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 the clinician's services. The largest specialties are Internal Medicine (8) and Family Practice (5). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Thirlby Clinic Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D0381456) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thirlby Clinic Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Thirlby Clinic Plc 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 Thirlby Clinic Plc was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.