Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Marie Hissong, ACAGNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1992519649

Kathryn Marie Hissong, ACAGNP-BC is a Nurse Practitioner in Traverse City, Michigan. Qualified in 2024, 2 years ago. Practices with Munson Medical Center, a 377-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2025
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Practice location Address checks out

1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone: (231) 392-0640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704278432 (MI)

Record details

NPI number1992519649
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACAGNP-BC
Sole proprietorNo
NPI enumeratedFebruary 4, 2025
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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