Individual provider Active NPI

Pamela Ann Dusseau, FNP

  • Family Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1295335305
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704239577 Issued in MI
Practice address
701 US Highway 31 S
Traverse City, MI 49685-8016
Phone
(231) 932-9720
Fax
(989) 321-4625
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704239577 MI Primary

Addresses

Primary practice location

701 US Highway 31 S
Traverse City, MI 49685-8016

Mailing address

2593 Nelson Rd
Traverse City, MI 49686-8557
Phone (231) 313-6993

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
I20210209000548 MI Practitioner - Nurse Practitioner 1759796584 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Grayling Current Accepting new patients
Paul Oliver Memorial Hospital CurrentSince Jul 1, 2022 Accepting new patients
Paul Oliver Memorial Hospital CurrentSince Jul 1, 2022 Accepting new patients
Paul Oliver Memorial Hospital Current Accepting new patients
Munson Healthcare Grayling CurrentSince Mar 25, 2022 Accepting new patients
Munson Healthcare Grayling CurrentSince Mar 25, 2022 Accepting new patients

Locations

3778 Momentum Pl
Chicago, IL 60689

9975 W Ottawa Ave
Empire, MI 49630
Phone (231) 213-1115

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1295335305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 NELSON RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868557",
            "telephone_number": "231-313-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 US HIGHWAY 31 S",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496858016",
            "telephone_number": "231-932-9720",
            "fax_number": "989-321-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSSEAU",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704239577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.