Individual provider Active NPI

Emily Ann Ptasnik, DO

  • Dermatology Physician
  • Cheboygan, MI
National Provider Identifier
1801470059
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5151014993 Issued in MI
Practice address
761 Lafayette Ave
Cheboygan, MI 49721-2117
Phone
(231) 268-3033
Fax
(231) 268-3031
NPI assigned
May 12, 2021
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 5151014993 MI Primary

Addresses

Primary practice location

761 Lafayette Ave
Cheboygan, MI 49721-2117

Mailing address

761 Lafayette Ave
Cheboygan, MI 49721-2117
Phone (231) 420-2140

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
I20251016003936 MI Practitioner - Dermatology 6800296229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Michigan State University College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Straits Area Dermatology Center PLCGroup PAC ID 8527565605, 2 clinicians

Practice addresses (Care Compare)

761 Lafayette Ave
Cheboygan, MI 49721-2117
Phone (989) 370-2448

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions288
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Straits Area Dermatology Center PLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients

Locations

761 Lafayette Ave
Cheboygan, MI 49721
Phone (231) 627-7157

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, 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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1801470059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 LAFAYETTE AVE",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212117",
            "telephone_number": "231-420-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 LAFAYETTE AVE",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212117",
            "telephone_number": "231-268-3033",
            "fax_number": "231-268-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PTASNIK",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5151014993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

Verify at the official NPI Registry.