Crystal Lake Clinic P.C.
NPI 1053780072ActiveOrganization· Family Medicine· Elk Rapids, MI
Family Medicine in Elk Rapids, Michigan, registered in NPPES in September 2015. The authorized official on file is Richard C. Nielsen, M.D., President.
Overview
| NPI | 1053780072 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 21, 2015 |
| Last updated in NPPES | Sep 21, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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