Individual provider

Andrea Dunklow

Family Nurse Practitioner Medicare enrolled

Andrea Dunklow is a Family Nurse Practitioner in Traverse City, MI, registered under NPI 1053713479.

Getting there

The practice address on file is 1105 6TH ST, Traverse City, MI 49684. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1105 6TH ST, Traverse City, MI 49684 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
4704252790 MI Family Nurse Practitioner primary

This provider holds licence 4704252790 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
9133173495
Enrollment ID
I20141031002018

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053713479 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 17, 2014
Last updatedJul 26, 2023
StatusActive
Sole proprietorNo
Practice address 1105 6TH ST
Traverse City, MI 49684
(231) 947-0673
Fax (801) 740-2847
Mailing address 4624 N SPIDER LAKE RD
Traverse City, MI 49696
Other identifiers 4704252790 · Other (MI)
The last update on file is Jul 26, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1053713479 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 7 1 3 4 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 5 1 6 4 5

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053713479?
NPI 1053713479 is the National Provider Identifier assigned to Andrea Dunklow in Traverse City, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Andrea Dunklow?
The phone number on file with NPPES is (231) 947-0673, last updated Jul 26, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Andrea Dunklow accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053713479 a valid number?
Yes. 1053713479 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.