Active NPI
Karri Elizabeth Vaughan, PA-C
- Physician Assistant
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004084
- Practice address
- 4624 N Spider Lake Rd
Traverse City, MI 49696-8440 - Phone
- (231) 947-0673
- NPI assigned
- Sep 13, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004084 | MI | Primary |
Addresses
Primary practice location
4624 N Spider Lake Rd
Traverse City, MI 49696-8440
Mailing address
4373 Silver Valley LN
Traverse City, MI 49684-8796
Phone (231) 947-0673
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
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4290 US
Suite 31
Traverse City, MI 49686-3761
Phone (231) 252-1810
630 W 14TH St
Traverse City, MI 49684-4050
Phone (231) 252-1810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004084 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Traverse Observation Physician Services PC | Past | Accepting new patients |
Locations
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Interoperability endpoints
- kvaughan@direct.mhc.net
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.
-
- Urgent Care Clinic/Center
- Traverse City, MI
- NPI 1295564391
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
-
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
- Emergency Medicine Physician
- Traverse City, MI
- NPI 1073597944
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1659385334
-
- Emergency Medicine Physician
- Traverse City, MI
- NPI 1851671697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1942295274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4373 SILVER VALLEY LN",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496848796",
"telephone_number": "231-947-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4624 N SPIDER LAKE RD",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496968440",
"telephone_number": "231-947-0673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "KARRI",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 7, 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.