Active NPI
Lorraine Marceil Nall, M.D
- Internal Medicine Physician
- Traverse City, MI
National Provider Identifier
1447202387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301070184
- Practice address
- 3537 West Front Street
Ste I
Traverse City, MI 49684-7943 - Phone
- (231) 935-8950
- Fax
- (231) 935-8868
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301070184 | MI | Primary |
Addresses
Primary practice location
3537 West Front Street
Ste I
Traverse City, MI 49684-7943
Mailing address
3537 West Front Street
Ste I
Traverse City, MI 49684-7943
Phone (231) 935-8950
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00254230 | Other | MI | RR MEDICARE |
| 0B860203112 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 4756728 | Medicaid | MI | |
| 4875649 | Medicaid | MI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indigo Services, PLC | Internal Medicine | Past | Accepting new patients |
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": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1447202387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3537 WEST FRONT STREET",
"address_2": "STE I",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847943",
"telephone_number": "231-935-8950",
"fax_number": "231-935-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3537 WEST FRONT STREET",
"address_2": "STE I",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847943",
"telephone_number": "231-935-8950",
"fax_number": "231-935-8868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALL",
"first_name": "LORRAINE",
"middle_name": "MARCEIL",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301070184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00254230",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "0B860203112",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4756728",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4875649",
"state": "MI"
}
],
"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 Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.