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

Alisha Deponio, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1720749344

Alisha Deponio, AGACNP-BC is a Nurse Practitioner in Traverse City, Michigan. Qualified in 2021, 5 years ago. Practices with Munson Medical Group, a 189-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022

Practice location Address checks out

1200 Sixth St Ste 200
Traverse City, MI 49684-2369
Phone: (231) 935-5800
Fax: (231) 935-5799
Show map & directions

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

Additional practice locations (1)

  • 1105 Sixth St, Traverse City, MI 49684-2345 — (231) 935-5000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704284761NSA2111S (MI)

Record details

NPI number1720749344
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Munson Medical Group — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Traverse City