Individual provider Active NPI

Alicia A Becker, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1760076715
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704237148 Issued in MI
Practice address
4062 W Royal Dr
Traverse City, MI 49684
Phone
(231) 935-0338
NPI assigned
Feb 21, 2021
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704237148 MI Primary

Addresses

Primary practice location

4062 W Royal Dr
Traverse City, MI 49684

Mailing address

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-6080

Other practice location 1

4345 Stone Ridge Dr
Traverse City, MI 49684-7958
Phone (231) 668-2879

Other practice location 2

550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-8540

Other practice location 3

224 Circle Dr
Traverse City, MI 49684-2700
Phone (231) 932-4912

Other practice location 4

829 N Center Ave
Gaylord, MI 49735-1595
Phone (231) 935-0338

Other practice location 5

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 935-0338

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
I20211220001758 MI Practitioner - Nurse Practitioner 6709277148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Medical Center CurrentSince Oct 6, 2021 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Munson Medical Center CurrentSince Oct 6, 2021 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

1619 Anderson Rd
Petoskey, MI 49770
Phone (231) 417-6000

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

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

224 Circle Dr
Traverse City, MI 49684
Phone (231) 932-4912

4062 W Royal Dr
Traverse City, MI 49684
Phone (231) 935-0338

550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600

Interoperability endpoints

  • Direct secure messaging: abecker2@direct.mhc.net

Organizations & group practices 8

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 6

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": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1760076715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-935-0338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4345 Stone Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847958",
            "country_code": "US",
            "telephone_number": "231-668-2879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Munson Ave",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "49686",
            "country_code": "US",
            "telephone_number": "231-935-8540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842700",
            "country_code": "US",
            "telephone_number": "231-932-4912",
            "fax_number": "231-935-0613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351595",
            "country_code": "US",
            "telephone_number": "231-935-0338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497709256",
            "country_code": "US",
            "telephone_number": "231-935-0338",
            "fax_number": "231-935-3421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ALICIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704237148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.