SIC OF MICHIGAN, PC
NPI 1932994217
Clinic/Center - Health Service in Traverse City, MI

Active since April 09, 2025
4290 COPPER RIDGE DR STE 130, TRAVERSE CITY, MI 49684(231) 252-0893 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2026, Apr 9, 2025 (2 updates tracked since 2025).

About Sic Of Michigan, Pc NPPES

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

SIC OF MICHIGAN, PC (NPI 1932994217), doing business as Centers At Sic, is a healthcare organization registered as a health service in Traverse City, Michigan and active in the NPI registry since April 2025. The organization lists Josh Vander Lugt, Owner, as its authorized official.

NPPES Registry Identity

NPI1932994217
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSIC OF MICHIGAN, PC
Location Address4290 COPPER RIDGE DR STE 130Traverse City, MI 49684-7205
Mailing Address4290 Copper Ridge Dr Ste 130Traverse City, MI 49684-7205 · (231) 252-0893
Organization SubpartNo
Authorized OfficialJosh Vander LugtOwner · (616) 366-5079
Enumeration DateApril 9, 2025
Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1932994217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
4290 COPPER RIDGE DR STE 130, Traverse City, MI 49684

Other Names 1

Doing Business AsCenters At Sic

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)

Sic Of Michigan, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sic Of Michigan, PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1710496187
6227 FRANKFORT HWY
Benzonia, MI 49616
(231) 882-9661
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1295598035
701 N OTSEGO AVE
Gaylord, MI 49735
(989) 731-7760
✔ PECOS✔ Accepts Medicare52 mi
Nurse Practitioner
NPI 1801566377
205 S BRADLEY HWY
Rogers City, MI 49779
(989) 735-2052
✔ PECOS✔ Accepts Medicare101 mi
Emergency Medicine
NPI 1407079536
100 MICHIGAN ST NE
Grand Rapids, MI 49503
(616) 391-1680
✔ PECOS✔ Accepts Medicare123 mi

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

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 Sic Of Michigan, PC's NPI number?

The NPI number for Sic Of Michigan, PC is 1932994217. It was assigned to this organization in the NPPES registry on April 9, 2025. The provider is doing business as Centers at SIC.

Where is Sic Of Michigan, PC located?

Sic Of Michigan, PC is located at 4290 Copper Ridge Dr Ste 130, Traverse City, MI 49684. The listed phone number is (231) 252-0893.

What is Sic Of Michigan, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Sic Of Michigan, PC enrolled in Medicare?

Yes. Sic Of Michigan, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sic Of Michigan, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Sic Of Michigan, PC. 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 Nurse Practitioner (3) and Emergency Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sic Of Michigan, PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Sic Of Michigan, PC 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 Sic Of Michigan, PC was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.