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

Marie P Nizienski, PA-C

Individual provider Physician Assistant · NPI 1144517939

Marie P Nizienski, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2011, 15 years ago. Practices with Urology Associates PC of Grand Rapids, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

245 Cherry St SE Ste 202
Grand Rapids, MI 49503-4607
Phone: (616) 459-3551
Fax: (616) 459-1060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006046 (MI)

Record details

NPI number1144517939
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 30, 2011
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Urology Associates Pc Of Grand Rapids — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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