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

Jacob George Flynn, MD

Individual provider Family Medicine Physician · NPI 1104114230

Jacob George Flynn, MD is a Family Practice in Traverse City, Michigan. Qualified in 2010, 16 years ago. Practices with Crystal Lake Clinic PC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone: (231) 935-8000
Fax: (231) 935-8099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301099491 (MI)

Record details

NPI number1104114230
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 11, 2011
Last updated in NPPESDecember 18, 2020
Certification dateDecember 18, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Crystal Lake Clinic Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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