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

MS. Stacey Marie Nyland, PA-C

Individual provider Physician Assistant · NPI 1780235507

MS. Stacey Marie Nyland, PA-C is a Physician Assistant in Clarkston, Michigan. Qualified in 2019, 7 years ago. Practices with Midwest Center for Dermatology and Pathology PLLC, a 49-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5701 Bow Pointe Dr Ste 215
Clarkston, MI 48346-5400
Phone: (248) 236-5040
Fax: (248) 620-3379
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009540 (MI)

Record details

NPI number1780235507
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2019
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Midwest Center For Dermatology And Pathology Pllc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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