Kids Creek Childrens Clinic PC
NPI 1649291832 · Pediatrics Physician · Traverse City, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kids Creek Childrens Clinic PC is a Pediatrics Physician organization in Traverse City, MI (NPI 1649291832).
Provider details
- NPI number
- 1649291832
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angela Mullen, Practice Administrator(231) 935-0555
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
19 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
- 2006-07-22
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Frequently asked questions
- What is Kids Creek Childrens Clinic PC's NPI number?
- Kids Creek Childrens Clinic PC's National Provider Identifier (NPI) is 1649291832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kids Creek Childrens Clinic PC?
- Kids Creek Childrens Clinic PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kids Creek Childrens Clinic PC located?
- Kids Creek Childrens Clinic PC's practice location on file with NPPES is 5024 N Royal Dr, Traverse City, MI 49684-9230.
- What is Kids Creek Childrens Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Kids Creek Childrens Clinic PC is (231) 935-0555.
- Does Kids Creek Childrens Clinic PC accept Medicare?
- Kids Creek Childrens 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 Kids Creek Childrens Clinic PC?
- The authorized official listed on Kids Creek Childrens Clinic PC's NPPES record is Angela Mullen, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kids Creek Childrens Clinic PC's NPI active?
- Yes — Kids Creek Childrens Clinic PC's NPI (1649291832) is active in the NPPES registry as of the last update on 2024-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.