Active NPI
True North Medical PC
- Urgent Care Clinic/Center
- Traverse City, MI
National Provider Identifier
1295564391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- TRUE NORTH MEDICAL PC
- Practice address
- 630 W 14TH St
Traverse City, MI 49684-4050 - Phone
- (231) 674-4043
- Fax
- (231) 421-7993
- NPI assigned
- Jul 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Vander Roest, MD
- Title
- Owner
- Phone
- (231) 252-1810
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
630 W 14TH St
Traverse City, MI 49684-4050
Mailing address
630 W 14TH St
Traverse City, MI 49684-4050
Phone (231) 252-1810
Other practice location 1
4290 US 31 N
Traverse City, MI 49686-3761
Phone (231) 252-1810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240912000235 | MI | Part B Supplier - Clinic/Group Practice | 7315487790 |
Receives reassigned benefits from 15 practitioners Practice locations: Traverse City, MI |
National Provider Directory
National Provider DirectoryLocations
4290 US 31 N
Traverse City, MI 49686
Phone (231) 252-1810
630 W Fourteenth St
Traverse City, MI 49684
Phone (231) 252-1810
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1295564391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 W 14TH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844050",
"telephone_number": "231-252-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 W 14TH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844050",
"telephone_number": "231-674-4043",
"fax_number": "231-421-7993"
}
],
"practiceLocations": [
{
"address_1": "4290 US 31 N",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496863761",
"country_code": "US",
"telephone_number": "231-252-1810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRUE NORTH MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-29",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "VANDER ROEST",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-252-1810",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.