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

MS. Elyse C Van Ittersum, FNP-C

Individual provider Family Nurse Practitioner · NPI 1730795485

MS. Elyse C Van Ittersum, FNP-C is a Nurse Practitioner in Troy, Michigan. Qualified in 2020, 6 years ago. Practices with Wellstreet Urgent Care of Michigan, a 127-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4060 Rochester Rd
Troy, MI 48085-4923
Phone: (248) 250-6420
Fax: (248) 250-6430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704341270 (MI)

Record details

NPI number1730795485
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedSeptember 18, 2020
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023
Mailing address6058 Hearthside Dr, Troy, MI 48098-5363

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wellstreet Urgent Care Of Michigan — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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