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

Elise Marie Wiersma, AGACNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1407237548

Elise Marie Wiersma, AGACNP-BC is a Nurse Practitioner in Detroit, Michigan. Qualified in 2014, 12 years ago. Practices with University Physician Group, a 402-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

6001 W Outer Dr Ste 445
Detroit, MI 48235-2614
Phone: (313) 966-9777
Fax: (313) 966-9767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704295406 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704295406 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704295406 (MI)

Record details

NPI number1407237548
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJune 15, 2015
Last updated in NPPESOctober 26, 2022
Certification dateOctober 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Detroit