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

Sheri Lee Tack, NP

Individual provider Family Nurse Practitioner · NPI 1740633700

Sheri Lee Tack, NP is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2016, 10 years ago. Practices with Community Health Center of Branch County, a 56-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4069 Lake Dr SE Ste 312
Grand Rapids, MI 49546-8816
Phone: (616) 267-8700
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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 4704253328 (MI)

Record details

NPI number1740633700
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Community Health Center Of Branch County — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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