UP NORTH MEDICAL CENTERS
NPI 1972556702
Dermatology - Dermatopathology in Gaylord, MI
About Up North Medical Centers NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UP NORTH MEDICAL CENTERS (NPI 1972556702) is a healthcare organization registered as a dermatopathology in Gaylord, Michigan and active in the NPI registry since May 2006. The organization lists Destiney Green, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Up North Medical Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Up North Medical Centers, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Boyne Country Urgent Care P.C.'s NPI number?
The NPI number for Boyne Country Urgent Care P.C. is 1972556702. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Up North Medical Centers.
Where is Boyne Country Urgent Care P.C. located?
Boyne Country Urgent Care P.C. is located at 1951 S Otsego Ave, Gaylord, MI 49735. The listed phone number is (989) 732-3284.
What is Boyne Country Urgent Care P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.
Is Boyne Country Urgent Care P.C. enrolled in Medicare?
Yes. Boyne Country Urgent Care P.C. is registered in the Medicare PECOS enrollment system.
When is Boyne Country Urgent Care P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Boyne Country Urgent Care P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Boyne Country Urgent Care P.C., in Family Practice, Internal Medicine and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Boyne Country Urgent Care P.C. was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Up North Medical Centers · NPI 1972556702
Dermatopathology organization in Gaylord, Michigan. Organization record, active in the CMS NPPES registry since May 19, 2006.
## Identity
- **NPI:** 1972556702 (Entity type: Organization)
- **Enumerated:** May 19, 2006
- **Primary specialty:** Dermatology - Dermatopathology · taxonomy 207ND0900X
- **Legal business name:** Boyne Country Urgent Care P.c.
- **Organization subpart:** No
- **Authorized official:** Destiney Green, MANAGER
## Practice location
- **Address:** 1951 S OTSEGO AVE, Gaylord, MI 49735-8489
- **Phone:** (989) 732-3284 · **Fax:** (989) 732-6395
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2024
- **Other identifiers:** Other 080B410910 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1972556702) · Data from the CMS NPPES public registry.