NPPES file of Aug 9, 2026

Interlochen Emergency Group, PC in Traverse City, MI

This organization bills under NPI 1336821495, an organization record issued on Aug 7, 2023 with the primary taxonomy Emergency Medicine Physician. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1336821495
Legal name
Interlochen Emergency Group, PC
Entity
Type 2 · organization
Primary taxonomy
Emergency Medicine Physician 207P00000X
Practice location
1105 6TH ST, Traverse City, MI 49684
Phone
231-935-5000
Mailing address
Lafayette, LA
Enumerated
Aug 7, 2023
Record updated
Apr 8, 2026
Authorized official
President/Owner (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

20 clinicians CMS lists with Interlochen Emergency Group in Traverse City

  1. Nicholas Adams, MDEmergency Medicine Physician1578057758
  2. Krista Anhalt, DOEmergency Medicine Physician1952445397
  3. Jacob Ballard, MSN, APRN, FNP-CFamily Nurse Practitioner1558993667
  4. Frederick Biggs, PAMedical Physician Assistant1205853389
  5. Jacob BurkeEmergency Medicine Physician1013413673
  6. Ignacio Campa-Garcia, PAPhysician Assistant1265478648
  7. Daniel Dunaske, DOEmergency Medicine Physician1437895927
  8. Andrew Dygert, DOEmergency Medicine Physician1376958595
  9. Keith Eaton, MDFamily Medicine Physician1457589053
  10. Margaret Kelly, FNP-BCFamily Nurse Practitioner1124306212
  11. Tamella Livengood, MSN, FNPFamily Nurse Practitioner1407038151
  12. Keegan Michel, MDEmergency Medicine Physician1992169692
  13. Shannon Moeggenborg, APRN, FNP-CFamily Nurse Practitioner1528467669
  14. Lauren Nickerson, NP-CRegistered Nurse1467113399
  15. Rebecca Otten, MDEmergency Medicine Physician1013355353
  16. Megan Pawloski, MDEmergency Medicine Physician1982231411
  17. Nicklas Raycraft, FNP-CFamily Nurse Practitioner1154934842
  18. Steven Ritter, FNPFamily Nurse Practitioner1023548344
  19. Marisa RogersPhysician Assistant1013615749
  20. Nicholas Stull, DOEmergency Medicine Physician1811384704

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

Checking an organization

  1. Confirm the business with the Michigan secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 207P00000X Emergency Medicine Physician
  • 363A00000X Physician Assistant
  • 363L00000X Nurse Practitioner

Common questions

Why is the mailing address in Louisiana?

The mailing address in the record (Lafayette, LA) is where the organization receives mail. Care is given at the practice location in Traverse City.

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.