Individual provider Active NPI

Kari Jo Nothstine, FNP-C

  • Family Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1598485229
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704303644 Issued in MI
Practice address
5199 N Royal Dr
Traverse City, MI 49684-9201
Phone
(231) 486-0230
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704303644 MI Primary

Addresses

Primary practice location

5199 N Royal Dr
Traverse City, MI 49684-9201

Mailing address

5199 N Royal Dr
Traverse City, MI 49684-9201
Phone (231) 486-0230

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220928003509 MI Practitioner - Nurse Practitioner 4183000110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Skin Cancer and Dermatology Center PLCGroup PAC ID 5597012096, 5 clinicians

Practice addresses (Care Compare)

5199 N Royal Dr
Traverse City, MI 49684-9201
Phone 231486023012

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704303644MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Skin Cancer and Dermatology Center PLC CurrentSince Apr 16, 2023 Accepting new patients

Locations

502 Cobb St
Cadillac, MI 49601
Phone (231) 775-1248

5199 N Royal Dr
Traverse City, MI 49684
Phone (231) 486-0230

1225 W Front St
#2
Traverse City, MI 49684
Phone (231) 486-0230

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 1

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1598485229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5199 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849201",
            "telephone_number": "231-486-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849201",
            "telephone_number": "231-486-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTHSTINE",
        "first_name": "KARI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704303644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.