Active NPI
Alissa Gracy
- Acute Care Nurse Practitioner
- Petoskey, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4704259828
- Practice address
- 560 W Mitchell St Ste M40
Petoskey, MI 49770-2278 - Phone
- (231) 487-2391
- NPI assigned
- Oct 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704259828 | MI | Primary |
Addresses
Primary practice location
560 W Mitchell St Ste M40
Petoskey, MI 49770-2278
Mailing address
560 W Mitchell St Ste M40
Petoskey, MI 49770-2278
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Duke University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
560 W Mitchell St
Suite M40
Petoskey, MI 49770-2278
Phone (231) 487-3637
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704259828 | MI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Branch Regional Medical Center | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Past | Accepting new patients |
Locations
609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
560 W Mitchell St
Ste M40
Petoskey, MI 49770
Phone (231) 487-2391
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
Interoperability endpoints
- agracy1170511@direct.hfhs.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Family Medicine Physician
- Mt Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
-
- Rural Acute Care Hospital
- West Branch, MI
- NPI 1396732103
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1538195409
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
-
dba Chippewa County War Memorial Hospital, Inc
- General Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1295756948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1295201408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST STE M40",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST STE M40",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702278",
"telephone_number": "231-487-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACY",
"first_name": "ALISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704259828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.