Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elevate Medical Spa LLC

Organization Nurse Practitioner · NPI 1609552173

Elevate Medical Spa LLC is a Nurse Practitioner in Petoskey, Michigan. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2230 E Mitchell Rd Ste A
Petoskey, MI 49770-6601
Phone: (231) 622-8103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1609552173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Goetz — Owner · (231) 622-8103
Other names Elevate Medical Aesthetics And Wellness
NPI enumeratedJune 27, 2023
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address2230 E Mitchell Rd Ste A, Petoskey, MI 49770-6601

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