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

Tsana Nitowaukia Mattice, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1578022042

Tsana Nitowaukia Mattice, AGACNP-BC is a Nurse Practitioner in Kalamazoo, Michigan. Graduated from Georgetown University School of Medicine in 2018, 8 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
8
Trained at
Georgetown University School of Medicine
Licensed in
MI, WI
In the registry since
2019
Specialties on file
3

Practice location Address checks out

601 John St
Kalamazoo, MI 49007-5341
Phone: (269) 341-7654
Show map & directions

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

Additional practice locations (2)

  • 1818 N Meade St, Appleton, WI 54911-3454 — (920) 454-5767
  • 130 2nd St, Neenah, WI 54956-2883 — (920) 729-2155

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 100630 (WI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 4704300999 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 14191 (WI)

Record details

NPI number1578022042
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMarch 14, 2019
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kalamazoo