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

Lisa Marie Tetzlaff, FNP-C

Individual provider School Registered Nurse · NPI 1174854400

Lisa Marie Tetzlaff, FNP-C is a Nurse Practitioner in Newberry, Michigan. Qualified in 2012, 14 years ago. Practices with Mymichigan Medical Center Sault, a 102-clinician group and accepts Medicare assignment. Licensed in Delaware and Michigan.

Years since qualifying
14
Licensed in
DE, MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

700 Newberry Ave
Newberry, MI 49868-1503
Phone: (906) 293-3226
Fax: (877) 743-0490
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704267555 (MI)
School Registered Nurse Taxonomy 163WS0200X · Licence L1-0037352 (DE)

Record details

NPI number1174854400
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJanuary 27, 2010
Last updated in NPPESJuly 16, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mymichigan Medical Center Sault — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount