KYRSTIN RACHAEL SEDLACEK
NPI 1821604604
Internal Medicine - Cardiovascular Disease in Traverse City, MI

Active since September 17, 2020PECOS EnrolledAccepts Medicare Assignment
4020 COPPER VW STE 104, TRAVERSE CITY, MI 49684(231) 421-6921 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2021, Mar 12, 2021, Nov 3, 2020 and 1 more (4 updates tracked since 2020).

About Kyrstin Rachael Sedlacek NPPES

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

KYRSTIN RACHAEL SEDLACEK (NPI 1821604604) is an individual cardiovascular disease provider in Traverse City, Michigan, licensed in Michigan (4704318300) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1821604604
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameKYRSTIN RACHAEL SEDLACEK
Location Address4020 COPPER VW STE 104Traverse City, MI 49684-7041
Mailing Address9041 Kingsfield DrKingsley, MI 49649-8709 · (231) 668-2792
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 17, 2020
Last NPPES UpdateJune 23, 20214 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1821604604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 4704318300
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704318300 (MI)
4020 COPPER VW STE 104, Traverse City, MI 49684

Other Names 1

Former Name (1)Kyrstin Adams

Secondary Practice Location 1

Location 11105 Sixth St Ste 200Traverse City, MI 49684-2345 · Phone (231) 935-5800 · Fax (231) 935-5799

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

Kyrstin Rachael Sedlacek 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 ID3971922782
PECOS Enrollment IDI20200929000394
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

2

Medicare enrollment records show Kyrstin Sedlacek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 191 clinicians in this Medicare group
Family Medicine
815 BUSINESS PARK DR STE A
Traverse City, MI 49686
  • Reassigned Medicare billing, Michigan enrollment
  • 33 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services17 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 12

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

Social Worker (Clinical)
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Nurse Practitioner (Adult Health)
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Nurse Practitioner (Family)
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Social Worker
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Dietitian, Registered
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Nurse Practitioner
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Social Worker (Clinical)
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Nurse Practitioner (Gerontology)
4020 COPPER VW STE 104
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 Kyrstin Sedlacek's NPI number?

The NPI number for Kyrstin Sedlacek is 1821604604. It was assigned to this individual provider in the NPPES registry on September 17, 2020. The provider is also known as Kyrstin Adams.

Where is Kyrstin Sedlacek located?

Kyrstin Sedlacek practices at 4020 Copper Vw Ste 104, Traverse City, MI 49684. The listed phone number is (231) 421-6921.

What is Kyrstin Sedlacek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kyrstin Sedlacek enrolled in Medicare?

Yes. Kyrstin Sedlacek 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 Kyrstin Sedlacek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyrstin Sedlacek reassigns Medicare benefits to 2 organizations: Munson Medical Group (Traverse City, MI) and Chronic Care Management LLC (Traverse City, MI). 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 Kyrstin Sedlacek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyrstin Sedlacek 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 1 other insurer list Kyrstin Sedlacek 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 Kyrstin Sedlacek affiliated with any hospitals?

According to CMS data, Kyrstin Sedlacek is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Kyrstin Sedlacek was last updated on June 23, 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.