Individual provider Active NPI

Taegan Alycia Pletzke, FNP-BC

  • Nurse Practitioner
  • Essexville, MI
National Provider Identifier
1063381879
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704358640 Issued in MI
Practice address
863 N Pine Rd Ste F
Essexville, MI 48732-2159
Phone
(989) 778-1899
NPI assigned
Oct 30, 2025
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704358640 MI Primary

Addresses

Primary practice location

863 N Pine Rd Ste F
Essexville, MI 48732-2159

Mailing address

863 N Pine Rd Ste F
Essexville, MI 48732-2159
Phone (989) 778-1899

Other practice location 1

600 Cambridge St
Midland, MI 48642-4508
Phone (989) 486-1707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260618001694 MI Practitioner - Nurse Practitioner 5395216444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2811 S Monroe St
Bay City, MI 48708-8496

5308 Vineyard LN
Flushing, MI 48433-2438

863 N Pine Rd
Suite E
Essexville, MI 48732-2159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704358640MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lorenzo Berlanga MD PC PastSince Oct 1, 2023 Accepting new patients
Mid Michigan Medical Corporation PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1063381879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 N PINE RD STE F",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487322159",
            "telephone_number": "989-778-1899",
            "fax_number": "989-778-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N PINE RD STE F",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487322159",
            "telephone_number": "989-778-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486424508",
            "country_code": "US",
            "telephone_number": "989-486-1707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLETZKE",
        "first_name": "TAEGAN",
        "middle_name": "ALYCIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704358640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essexville, MI

Sources for this page

Verify at the official NPI Registry.