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

Tami Nysse, NP

Individual provider Nurse Practitioner · NPI 1104005560

Tami Nysse, NP is a Nurse Practitioner in Walker, Michigan. Qualified in 2007, 19 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1175 Wilson Ave NW
Walker, MI 49534-6404
Phone: (616) 685-8650
Fax: (616) 791-2160
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 4704228710 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704228710 (MI)

Record details

NPI number1104005560
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 1, 2007
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address1900 44th St Se, Kentwood, MI 49508-5008

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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