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

Christy Marie Kemner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649968413

Christy Marie Kemner is a Physician Assistant in Traverse City, Michigan. Qualified in 2024, 2 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4100 Park Forest Dr Ste 208
Traverse City, MI 49684-7306
Phone: (231) 935-5710
Fax: (231) 935-9045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7139 Crusader St Sw, Massillon, OH 44646-9910 — (734) 657-0490

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012507 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649968413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 28, 2023
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Traverse City