Active NPI
Christina Ann Plamondon, CNM
- Advanced Practice Midwife
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 4704168063
- Practice address
- 1200 Sixth Street
Suite 400
Traverse City, MI 49684-2369 - Phone
- (231) 392-0650
- Fax
- (231) 392-0665
- NPI assigned
- Jan 24, 2012
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 4704168063 | MI | Primary |
Addresses
Primary practice location
1200 Sixth Street
Suite 400
Traverse City, MI 49684-2369
Mailing address
1200 Sixth Street
Suite 400
Traverse City, MI 49684-2369
Phone (231) 392-0650
Other practice location 1
1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000
Other practice location 2
4201 Saint Antoine St
Suite 4C
Detroit, MI 48201
Phone (313) 745-4525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B81030 | Other | MI | BCBSM |
Other names 1
- Christina Ann Boucher Langille
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1105 6TH St
Traverse City, MI 49684-2386
1200 6TH St
Traverse City, MI 49684-2369
Hospital & facility affiliations
- Munson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704168063 | MI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Current | Accepting new patients | |
| Grand Traverse Womens Clinic PLLC | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients |
Locations
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
1200 Sixth St
Ste 400
Traverse City, MI 49684
Phone (231) 392-0650
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Interoperability endpoints
- christinaplamondon@gtwc.directglo.com
Organizations & group practices 5
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Obstetrics Physician
- Traverse City, MI
- NPI 1336194166
-
- Obstetrics & Gynecology Physician
- Traverse City, MI
- NPI 1689276412
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1851662779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SIXTH STREET",
"address_2": "SUITE 400",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842369",
"telephone_number": "231-392-0650",
"fax_number": "231-392-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SIXTH STREET",
"address_2": "SUITE 400",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842369",
"telephone_number": "231-392-0650",
"fax_number": "231-392-0665"
}
],
"practiceLocations": [
{
"address_1": "1105 Sixth St",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842345",
"country_code": "US",
"telephone_number": "231-935-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4201 Saint Antoine St",
"address_2": "Suite 4C",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48201",
"country_code": "US",
"telephone_number": "313-745-4525",
"fax_number": "313-745-4399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLAMONDON",
"first_name": "CHRISTINA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2025-09-12",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "4704168063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0B81030",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "BOUCHER LANGILLE",
"middle_name": "ANN",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 12, 2025; 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.