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

Kelsi Lynn Churchill

Individual provider Audiologist · NPI 1609609411

Kelsi Lynn Churchill is a Qualified Audiologist in Petoskey, Michigan. Qualified in 2024, 2 years ago. Practices with Great Lakes Ear Nose and Throat Specialists PC, a 7-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024

Practice location Address checks out

1114 Charlevoix Ave
Petoskey, MI 49770-9701
Phone: (231) 489-8151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 1601001168 (MI)

Record details

NPI number1609609411
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Great Lakes Ear Nose And Throat Specialists Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Petoskey