TAMI NYSSE (NP) – Family Nurse Practitioner, NPI 1104005560

TAMI NYSSE (NP) is a healthcare provider. based in Kentwood, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704228710 (MI). The NPI Number for TAMI NYSSE (NP) is 1104005560

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
TAMI NYSSE (NP)
NPI
1104005560
Phone
Not provided
Address
1900 44TH ST SE
Enumeration Date
1 November 2007
Last Update Date
21 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6166858650
Graduation Year
2007 (19 years ago)
PAC ID
3577643543
Group Practice PAC ID
4082807961
Professional Enrollment ID
I20080103000097
Address ID
MI495346407WA1175XNWXX400

Contacts

Secure Messaging
nysset@mercyhealth.com
Secure Messaging
tnysse44419@direct.trinity-health.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for TAMI NYSSE (NP)

  • 1900, 44th Street Southeast, Kentwood, Kent County, Michigan, 49508, United States

    KENTWOOD, MI 495085008

    Phone:

    Type: Mailing

  • 1175, Wilson Avenue Northwest, Standale, Walker, Kent County, Michigan, 49534, United States

    WALKER, MI 495346404

    Phone: (616) 685-8650

    Fax: (616) 791-2160

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080103000097INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7264$0
99213Established patient office or other outpatient visit, 20-29 minutes4940$0
99215Established patient office or other outpatient visit, 40-54 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 49508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082807961View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to TAMI NYSSE (NP)?
NPI 1104005560 is assigned to TAMI NYSSE (NP) under the national enumeration system.
Is TAMI NYSSE (NP) currently active in the NPI registry?
CMS-published data lists TAMI NYSSE (NP) as an active registrant.
Does TAMI NYSSE (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for TAMI NYSSE (NP). Clinical services aligned with this taxonomy classification.
Does TAMI NYSSE (NP) practice in Michigan?
You will see Kentwood, Michigan on file for TAMI NYSSE (NP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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