Alpine Family Medicine PLC
NPI 1174577720 · Family Medicine Physician · Gaylord, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alpine Family Medicine PLC is a Family Medicine Physician organization in Gaylord, MI (NPI 1174577720).
Provider details
- NPI number
- 1174577720
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derek Olson, Md/Owner(989) 732-3529
- License
- KK030249 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2021-01-06
- Certified
- 2021-01-06
Frequently asked questions
- What is Alpine Family Medicine PLC's NPI number?
- Alpine Family Medicine PLC's National Provider Identifier (NPI) is 1174577720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alpine Family Medicine PLC?
- Alpine Family Medicine PLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Alpine Family Medicine PLC located?
- Alpine Family Medicine PLC's practice location on file with NPPES is 652 N Otsego Ave, Gaylord, MI 49735-2502.
- What is Alpine Family Medicine PLC's phone number?
- The practice phone number listed in the NPPES registry for Alpine Family Medicine PLC is (989) 732-3529.
- Does Alpine Family Medicine PLC accept Medicare?
- Alpine Family Medicine PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Alpine Family Medicine PLC?
- The authorized official listed on Alpine Family Medicine PLC's NPPES record is Derek Olson, Md/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alpine Family Medicine PLC's NPI active?
- Yes — Alpine Family Medicine PLC's NPI (1174577720) is active in the NPPES registry as of the last update on 2021-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.