Crystal Lake Clinic P.C.
NPI 1316991755ActiveOrganization· Family Medicine· Benzonia, MI
Family Medicine in Benzonia, Michigan, registered in NPPES in May 2006. The authorized official on file is Richard C. Nielsen, M.D., President.
Overview
| NPI | 1316991755 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2006 |
| Last updated in NPPES | Feb 14, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
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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