Elevate Medical Spa LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ELEVATE MEDICAL SPA LLC

Practice address

2230 E Mitchell Rd Ste a
Petoskey, MI 49770-6601

Phone

(231) 622-8103

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Martha Jean Goetz, FNPNPI 1538260856

Title

Owner

Phone

(231) 622-8103

Specialties & licenses 2

Addresses

Other names 1

• Elevate Medical Aesthetics and Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha Jean Goetz, FNP

  • Nurse Practitioner
  • Petoskey, MI
  • NPI 1538260856
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1609552173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 E MITCHELL RD STE A",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497706601",
            "telephone_number": "231-622-8103",
            "fax_number": "949-695-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 E MITCHELL RD STE A",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497706601",
            "telephone_number": "231-622-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE MEDICAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-622-8103",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Medical Aesthetics and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ecs Northern Michigan PC
• Joseph Gordon Edelson, MD
• Lance Edgerton, FNP-C
• Bruce D Edwards, DDS
• James Francis Ehrnst, D.C.
• Elite Movement Chiropractic Clinic PLC
• Amy-Lynn Ruth Ellenberger, LMT
• Monica Lorraine Elliott
• David Alan Ellsworth, DDS
• Walter Emling, RPH

• Nurse Practitioner in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.