Individual provider Active NPI

Debra Kay Graetz, MD

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1104963115
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301084276 Issued in MI
Practice address
647 E Eighth St
Traverse City, MI 49686-2682
Phone
(231) 922-0400
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301084276 MI Primary

Addresses

Primary practice location

647 E Eighth St
Traverse City, MI 49686-2682

Mailing address

647 E Eighth St
Traverse City, MI 49686-2682
Phone (231) 922-0400

Other names 1

  • Debra Patricia Kay Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address debra.graetz@brook.eclinicaldirectplus.com Direct Brookside Family Medicine A Center for Health and Well-Being PLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070801000733 MI Practitioner - Family Practice 5395836571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

647 E 8TH St
Traverse City, MI 49686-2630
Phone (231) 922-0400

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301084276MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookside Family Medicine a Center for Health and Well-Being PLC Family Medicine CurrentSince Jan 1, 2018 Accepting new patients

Locations

872 Munson Ave
Ste D
Traverse City, MI 49686
Phone (231) 922-0400

647 E Eighth St
Traverse City, MI 49686
Phone (231) 922-0400

Interoperability endpoints

  • Direct secure messaging: debra.graetz@brook.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDCGAA/Endpoint/BDCGAA

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.

Hospital & facility affiliations 4

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1104963115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862682",
            "telephone_number": "231-922-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862682",
            "telephone_number": "231-922-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAETZ",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301084276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "debra.graetz@brook.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "ECW BFM P2P",
            "affiliationName": "Brookside Family Medicine A Center for Health and Well-Being PLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "647 E Eighth St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496862682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "KAY",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.