Crystal Lake Clinic, P.c.

ActiveOrganizationFamily Medicine
NPI issued: May 23, 2006

Quick Facts

NPI Number
1902851777
TypeOrganization
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(231) 864-3314
StateMI

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1902851777)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (May 23, 2006)
Data source: CMS NPPES

Provider Overview

CRYSTAL LAKE CLINIC, P.C. is a Family Medicine provider based in Bear Lake, MI who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1902851777
Provider TypeOrganization
StatusActive
Enumeration DateMay 23, 2006

Practice Location

CityBear Lake
StateMI
ZIP Code49614-9688
Phone(231) 864-3314

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateMI

Mailing Address

CityBear Lake
StateMI
ZIP Code49614-9688
Phone(231) 864-3314
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1902851777 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1902851777for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1902851777 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

Browse all Family Medicineproviders →
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199,317
Family Medicine Providers in the US

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People Also Ask

What is Crystal Lake Clinic, P.c.'s NPI number?
Crystal Lake Clinic, P.c.'s NPI number is 1902851777, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Crystal Lake Clinic, P.c.'s NPI currently active?
Yes, Crystal Lake Clinic, P.c.'s NPI status is Active as of the latest CMS NPPES database updates.
What does Crystal Lake Clinic, P.c. specialize in?
Crystal Lake Clinic, P.c. specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Crystal Lake Clinic, P.c. practice?
Crystal Lake Clinic, P.c. practices in Bear Lake, MI 49614-9688.
When was Crystal Lake Clinic, P.c.'s NPI issued?
Crystal Lake Clinic, P.c.'s NPI was issued on May 23, 2006.
What is Crystal Lake Clinic, P.c.'s provider type?
Crystal Lake Clinic, P.c. is registered as an Organization under CMS NPI Type 2.