Individual provider Active NPI

Christine Ann Nefcy, MD

  • Pediatrics Physician
  • Traverse City, MI
National Provider Identifier
1043295967
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301089636 Issued in MI
Practice address
1023 Business Park Dr
Traverse City, MI 49686-8372
Phone
(616) 320-0069
Fax
(616) 320-0097
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 70443801205 UT
Pediatrics Physician 208000000X 4301089636 MI Primary

Addresses

Primary practice location

1023 Business Park Dr
Traverse City, MI 49686-8372

Mailing address

2100 Raybrook St SE Ste 100B
Grand Rapids, MI 49546-5782
Phone (616) 320-0096

Other practice location 1

2100 Raybrook St SE Ste 100B
Grand Rapids, MI 49546-5782
Phone (616) 320-0096 ext. 00096

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christine.nefcy@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70443801205UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Fred PLLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

2100 Raybrook St SE
Ste 100B
Grand Rapids, MI 49546
Phone 6163200096 ext. 00096

1023 Business Park Dr
Traverse City, MI 49686
Phone (231) 389-6982

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BACJDD/Endpoint/BACJDD
  • Direct secure messaging: christine.nefcy@799501387825156.direct.elationemr.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1043295967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK ST SE STE 100B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465782",
            "telephone_number": "616-320-0096",
            "fax_number": "616-320-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 BUSINESS PARK DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868372",
            "telephone_number": "616-320-0069",
            "fax_number": "616-320-0097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Raybrook St SE Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495465782",
            "country_code": "US",
            "telephone_number": "616-320-0096 x00096",
            "fax_number": "616-320-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEFCY",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "70443801205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301089636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christine.nefcy@direct.imail.org",
            "affiliation": "N",
            "address_1": "4403 Harrison Blvd",
            "address_2": "4875",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844033271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.