CRYSTAL LAKE CLINIC, PC
NPI 1679844849
Family Medicine in Traverse City, MI

NPI Status: Active since January 20, 2012

Contact Information

5191 ROSEWOOD DR
TRAVERSE CITY, MI
ZIP 49685
Phone: (231) 882-9661

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  • Organization
  • Family Medicine
  • Accepts Insurance

About CRYSTAL LAKE CLINIC, PC

This page provides the complete NPI Profile along with additional information for Crystal Lake Clinic, Pc, a primary care provider established in Traverse City, Michigan operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1679844849 assigned on January 2012. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Crystal Lake Clinic, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Richard C Nielsen M.d. (President)

NPI
1679844849
Provider Name
CRYSTAL LAKE CLINIC, PC
Entity Type
Organization
Location Address
5191 ROSEWOOD DR TRAVERSE CITY, MI 49685
Location Phone
(231) 882-9661
Mailing Address
6227 FRANKFORT HWY BENZONIA, MI 49616
Mailing Phone
(231) 882-9661
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2012
Last Update Date
05-02-2017
Code Navigator

A primary care provider (PCP) like Crystal Lake Clinic, Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICHARD C NIELSEN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(231) 882-9661

Reviews for CRYSTAL LAKE CLINIC, PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679844849
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149164888
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 6 + 4 + 8 + 8 + 8 + 24 = 81
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 81 = 99

The NPI number 1679844849 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275771370 DANIELLE EMILY KOCH NP
Individual
Nurse Practitioner (Family)5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
(231) 922-0667
1003950510 CATHERINE ANN VEESER PT
Individual
Physical Therapist5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
(231) 946-1979
1114349370MRS. TIFFANY NICOLE BROERING-ROBBINS DPT, MA
Individual
Physical Therapist5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
(231) 946-1979
1295154656 MARK LANGLOIS JR. M.D.
Individual
Family Medicine5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
(231) 922-0667
1376197889 KAYLA VAN ACKER DPT
Individual
Physical Therapist5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
(231) 946-1979
1982305074 KAITLYN YEAGLEY MS, OTR/L
Individual
Occupational Therapist5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
(231) 946-1979
1609954833DR. MITCHELL S STUCK D.O.
Individual
Family Medicine5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
(231) 946-1979
1932582608DR. ANTHONY G BONITA PHD
Individual
Psychologist (Clinical)5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
(231) 946-1979
1588047757DR. ARIANNA E APELGREN PERRA PSY.D.
Individual
Psychologist (Clinical)5191 ROSEWOOD DR
TRAVERSE CITY, MI 49685
(616) 840-7269

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679844849, enumerated in the NPI registry as an "organization" on January 20, 2012

The provider is located at 5191 Rosewood Dr Traverse City, Mi 49685 and the phone number is (231) 882-9661

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 20, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.