Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyler James Mariage, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1154195923

Tyler James Mariage, FNP-BC is a Nurse Practitioner in Eastpointe, Michigan. Qualified in 2024, 2 years ago. Practices with Michigan Primary Care PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

17000 E 10 Mile Rd
Eastpointe, MI 48021-1263
Phone: (586) 563-5555
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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 34704346298 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704346298 (MI)

Record details

NPI number1154195923
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedNovember 13, 2023
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Michigan Primary Care Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Eastpointe