NPIMap

Individual provider Active NPI

Lori Ann Lemonnier, M.D.

  • Otolaryngology Physician
  • Traverse City, MI
National Provider Identifier
1023217064
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301086038 Issued in MI
Practice address
1104 Cass St
Traverse City, MI 49684-3236
Phone
(231) 941-1155
Fax
(231) 259-1005
NPI assigned
Jul 11, 2007
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301086038 MI Primary

Addresses

Primary practice location

1104 Cass St
Traverse City, MI 49684-3236

Mailing address

1104 Cass St
Traverse City, MI 49684-3236
Phone (231) 914-1155

Other practice location 1

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LemonnierL@cassstearnosethroat.emadirect.md Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180525000084 MI Practitioner - Otolaryngology 5890810360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wayne State University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richard C Schultz MD and Associates PCGroup PAC ID 7719171966, 5 clinicians
Kalkaska Memorial Health CenterGroup PAC ID 3577536002, 57 clinicians

Practice addresses (Care Compare)

1104 Cass St
Traverse City, MI 49684-3236
Phone (231) 941-1155

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.07 of 100Reported as group
Quality
92.85
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301086038MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center Otolaryngology Current Accepting new patients
Kalkaska Memorial Health Center CurrentSince Dec 1, 2020 Accepting new patients
Kalkaska Memorial Health Center Otolaryngology CurrentSince Dec 1, 2020 Accepting new patients
Kalkaska Memorial Health Center Otolaryngology Current Accepting new patients
Richard C Schultz MD & Associates PC Otolaryngology CurrentSince Jul 15, 2018 Accepting new patients

Locations

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

1104 Cass St
Traverse City, MI 49684
Phone (231) 941-1155

Interoperability endpoints

  • Direct secure messaging: lemonnierl@cassstearnosethroat.emadirect.md
  • Direct secure messaging: llemonnier@direct.mhc.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1023217064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 CASS ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843236",
            "telephone_number": "231-914-1155",
            "fax_number": "231-259-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 CASS ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843236",
            "telephone_number": "231-941-1155",
            "fax_number": "231-259-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7777",
            "fax_number": "231-258-7786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMONNIER",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301086038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LemonnierL@cassstearnosethroat.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1104 Cass St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.