MRS. ALYSSA RENEE HARTLEY (FNP-C) – Family Nurse Practitioner, NPI 1508455916

MRS. ALYSSA RENEE HARTLEY (FNP-C) is a healthcare provider. based in Hudson, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4704299192 (MI). The NPI Number for MRS. ALYSSA RENEE HARTLEY (FNP-C) is 1508455916

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ALYSSA RENEE HARTLEY (FNP-C)
NPI
1508455916
Phone
(517) 398-3095
Address
16901 MEDINA ROAD
Enumeration Date
12 January 2021
Last Update Date
12 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5174395411
Graduation Year
2020 (6 years ago)
PAC ID
5799193496
Group Practice PAC ID
7214846260
Professional Enrollment ID
I20210419001408
Address ID
MI492421201HI61XXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MRS. ALYSSA RENEE HARTLEY (FNP-C)

  • 16901 MEDINA ROAD

    HUDSON, MI 49247

    Phone: (517) 398-3095

    Type: Mailing

  • 61 W CARLETON RD

    HILLSDALE, MI 492421201

    Phone: (517) 439-5411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $192.

Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Lilly USA, LLC ($66).

Total Amount

$192

General + Research + Ownership

Payments

5

Total payment records

General Amount

$192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-04-19

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
I20210419001408INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49247)

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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: 7214846260View full group profile
NameSpecialtyState
Physician AssistantMI
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerMI
-MI
Nurse PractitionerMI
-MI
Nurse PractitionerMI
Diagnostic RadiologyFL
Nurse PractitionerMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

How do payers reference MRS. ALYSSA RENEE HARTLEY (FNP-C)?
For MRS. ALYSSA RENEE HARTLEY (FNP-C), use NPI 1508455916 as the unique 10-digit identifier.
Would MRS. ALYSSA RENEE HARTLEY (FNP-C) appear as active to a payer?
You can treat MRS. ALYSSA RENEE HARTLEY (FNP-C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. ALYSSA RENEE HARTLEY (FNP-C)?
MRS. ALYSSA RENEE HARTLEY (FNP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. ALYSSA RENEE HARTLEY (FNP-C)?
Directory geography for MRS. ALYSSA RENEE HARTLEY (FNP-C) centers on Hudson, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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