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

Alyssa Iannello, NP-C

Individual provider Nurse Practitioner · NPI 1063396299

Alyssa Iannello, NP-C is a Nurse Practitioner in Macomb, Michigan. Graduated from Oakland Univ, William Beaumont School of Medicine in 2025, 1 year ago. Practices with Eastlake Cardiovascular PC, a 20-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
MI
In the registry since
2025
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

46806 Edgewater Dr
Macomb, MI 48044-3596
Phone: (248) 259-7109
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704333909APP17 (MI)

Record details

NPI number1063396299
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 1, 2025
Last updated in NPPESAugust 1, 2025
Certification dateJuly 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Eastlake Cardiovascular Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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