Northwestern Michigan Dermatology PC
NPI 1952410094 · Dermatology Physician · Traverse City, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northwestern Michigan Dermatology PC is a Dermatology Physician organization in Traverse City, MI (NPI 1952410094).
Provider details
- NPI number
- 1952410094
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maria Carroll, Secretary(231) 935-8717
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
- 2006-08-30
- Last updated
- 2015-09-28
Frequently asked questions
- What is Northwestern Michigan Dermatology PC's NPI number?
- Northwestern Michigan Dermatology PC's National Provider Identifier (NPI) is 1952410094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwestern Michigan Dermatology PC?
- Northwestern Michigan Dermatology PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Northwestern Michigan Dermatology PC located?
- Northwestern Michigan Dermatology PC's practice location on file with NPPES is 550 Munson Ave, Traverse City, MI 49686-3580.
- What is Northwestern Michigan Dermatology PC's phone number?
- The practice phone number listed in the NPPES registry for Northwestern Michigan Dermatology PC is (231) 935-8717.
- Does Northwestern Michigan Dermatology PC accept Medicare?
- Northwestern Michigan Dermatology 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 Northwestern Michigan Dermatology PC?
- The authorized official listed on Northwestern Michigan Dermatology PC's NPPES record is Maria Carroll, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwestern Michigan Dermatology PC's NPI active?
- Yes — Northwestern Michigan Dermatology PC's NPI (1952410094) is active in the NPPES registry as of the last update on 2015-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.