Individual provider Active NPI

Rachel Anastasia Cleminson, MD

  • Family Medicine Physician
  • Gaylord, MI
National Provider Identifier
1356967715
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351050031 Issued in MI
Practice address
829 N Center Ave Ste 210
Gaylord, MI 49735-1599
Phone
(989) 731-7860
Fax
(989) 731-7833
NPI assigned
Jun 22, 2020
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 4351050031 MI Primary

Addresses

Primary practice location

829 N Center Ave Ste 210
Gaylord, MI 49735-1599

Mailing address

829 N Center Ave Ste 210
Gaylord, MI 49735-1599
Phone (989) 731-7860

Other practice location 1

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000

Other practice location 2

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000

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
I20250711001506 MI Practitioner - Family Practice 6800301698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Central Michigan College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1996 Walden
Otsego County Memorial Hospital
Gaylord, MI 49735
Phone 51773141111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351050031MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Munson Medical Group Family Medicine Current Accepting new patients

Locations

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

Interoperability endpoints

  • Direct secure messaging: rcleminson@direct.mhc.net

Organizations & group practices 3

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 2

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1356967715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 N CENTER AVE STE 210",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351599",
            "telephone_number": "989-731-7860",
            "fax_number": "989-731-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 N CENTER AVE STE 210",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351599",
            "telephone_number": "989-731-7860",
            "fax_number": "989-731-7833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Wellness Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486702000",
            "country_code": "US",
            "telephone_number": "989-839-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Medical Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847823",
            "country_code": "US",
            "telephone_number": "231-935-8000",
            "fax_number": "231-935-8099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMINSON",
        "first_name": "RACHEL",
        "middle_name": "ANASTASIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351050031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.