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

Q: 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.

Q: What is Kyrstin Sedlacek's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

Phone(231) 421-6921

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

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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

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, McLaren Health Plan Community and more.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

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.

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.

MS. MELANIE SUE LUTZ LMSW

Social Worker (Clinical)