Individual provider Active NPI

Alyssa Ann Manry, FNP-C

  • Family Nurse Practitioner
  • West Branch, MI
National Provider Identifier
1386468338
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704335676 Issued in MI
Practice address
565 Progress St Ste B
West Branch, MI 48661-8601
Phone
(989) 941-3290
Fax
(989) 488-4570
NPI assigned
Nov 14, 2024
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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 4704335676 MI Primary

Addresses

Primary practice location

565 Progress St Ste B
West Branch, MI 48661-8601

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-2008

Other practice location 1

4760 Fashion Square Blvd Ste L-1
Saginaw, MI 48604-2620
Phone (989) 282-4003

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
I20241217000197 MI Practitioner - Nurse Practitioner 8628505526 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Obesity Medicine and Metabolic Wellness Clinic PLLCGroup PAC ID 6002295722, 6 clinicians
Northview Medical House Calls PLCGroup PAC ID 9537345400, 36 clinicians

Practice addresses (Care Compare)

2851 N Cedaridge Dr
Midland, MI 48642-8861
Phone (989) 600-1841

4760 Fashion Square Blvd
Suite L 1
Saginaw, MI 48604-2620
Phone (989) 282-4003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704335676MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northview Medical House Calls PLC CurrentSince Dec 1, 2024 Accepting new patients
Obesity Medicine & Metabolic Wellness Clinic PLLC CurrentSince Aug 15, 2025 Accepting new patients
Careconnectmd Michigan PC CurrentSince Jan 9, 2025 Accepting new patients
Northview Health Specialists, PLLC CurrentSince Feb 6, 2025 Accepting new patients
Careline Hmi300 LLC CurrentSince Feb 6, 2025 Accepting new patients
Careline Palliative Care LLC CurrentSince Feb 6, 2025 Accepting new patients
Premier Heart Associates, Inc PastSince Dec 1, 2024 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

770 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 272-3533

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

901 E Indian St
Midland, MI 48640
Phone (989) 832-8803

33 White Tail Creek Rd
Ste 3
Saginaw, MI 48638
Phone (989) 401-5343

4760 Fashion Square Blvd
Ste L1
Saginaw, MI 48604
Phone (989) 282-4003

3217 W M 76
Ste D
West Branch, MI 48661

565 Progress St
Ste B
West Branch, MI 48661
Phone (989) 516-0100

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1386468338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008",
            "fax_number": "517-212-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 PROGRESS ST STE B",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618601",
            "telephone_number": "989-941-3290",
            "fax_number": "989-488-4570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4760 Fashion Square Blvd Ste L-1",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486042620",
            "country_code": "US",
            "telephone_number": "989-282-4003",
            "fax_number": "888-491-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANRY",
        "first_name": "ALYSSA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704335676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.