Active NPI
Christine L Ceglarek
- Nurse Practitioner
- Petoskey, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704230547
- Practice address
- 560 W Mitchell St Ste 400
Petoskey, MI 49770-2274 - Phone
- (231) 330-3585
- Fax
- (231) 487-4001
- NPI assigned
- Jul 14, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704230547 | MI | Primary |
Addresses
Primary practice location
560 W Mitchell St Ste 400
Petoskey, MI 49770-2274
Mailing address
560 W Mitchell St Ste 400
Petoskey, MI 49770-2274
Phone (231) 330-3585
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000
Hospital & facility affiliations
- McLaren Northern Michigan
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704230547 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Past | Accepting new patients |
Locations
14676 W Upright St
Charlevoix, MI 49720
Phone (231) 487-5447
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760
560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1760736094
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Family Medicine Physician
- Mount Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1538195409
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1487226924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST STE 400",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702274",
"telephone_number": "231-330-3585",
"fax_number": "231-487-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST STE 400",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702274",
"telephone_number": "231-330-3585",
"fax_number": "231-487-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEGLAREK",
"first_name": "CHRISTINE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704230547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
- Christine Greenwalt Carpenter, MSW, LMSW, ACSW
- Mistey Carroll
- William Hyatt Carter
- Kenneth James Cartwright, M.D.
- Nicole Elizabeth Rataj Casady, PA-C
- Center for Neurological Surgery PC
- Center for Pulmonary and Sleep Medicine PC
- Center for the Family
- Landry Cairns Channels, PHARMD
- Charlene J Sweeney MD PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.