Novello Specialty Clinic PC
NPI 1629716964 · Multi-Specialty Clinic/Center · Traverse City, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Novello Specialty Clinic PC is a Multi-Specialty Clinic/Center organization in Traverse City, MI (NPI 1629716964).
Provider details
- NPI number
- 1629716964
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristen Elliott, Director, Operations(231) 360-0183
Specialties & taxonomies
Ambulatory Health Care Facilities
- Rheumatology Physician207RR0500X
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-05-26
- Last updated
- 2025-04-09
- Certified
- 2025-02-10
Frequently asked questions
- What is Novello Specialty Clinic PC's NPI number?
- Novello Specialty Clinic PC's National Provider Identifier (NPI) is 1629716964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Novello Specialty Clinic PC?
- Novello Specialty Clinic PC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Novello Specialty Clinic PC located?
- Novello Specialty Clinic PC's practice location on file with NPPES is 4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306.
- What is Novello Specialty Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Novello Specialty Clinic PC is (231) 600-7466.
- Does Novello Specialty Clinic PC accept Medicare?
- Novello Specialty Clinic PC 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 Novello Specialty Clinic PC?
- The authorized official listed on Novello Specialty Clinic PC's NPPES record is Kristen Elliott, Director, Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Novello Specialty Clinic PC's NPI active?
- Yes — Novello Specialty Clinic PC's NPI (1629716964) is active in the NPPES registry as of the last update on 2025-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.