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ALYCIA RAE DZIERWA FNP-C
NPI 1184452815
Nurse Practitioner - Family in Traverse City, MI

Active since July 24, 2024PECOS EnrolledAccepts Medicare Assignment
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-5000 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2024, Jul 24, 2024 (2 updates tracked since 2024).

About Alycia Rae Dzierwa Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYCIA RAE DZIERWA FNP-C (NPI 1184452815) is an individual family provider in Traverse City, Michigan, licensed in Michigan (4704369243) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Saginaw Valley Medical College - Nlg (2024).

NPPES Registry Identity

NPI1184452815
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYCIA RAE DZIERWACredential: FNP-C
Location Address1105 SIXTH STTraverse City, MI 49684-2386
Mailing Address9775 E Jennings DrTraverse City, MI 49684-2721 · (231) 357-6385
Phone(231) 935-5000
Sole ProprietorNo
Medical School CMSSaginaw Valley Medical College - NlgGraduated 2024
Enumeration DateJuly 24, 2024
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1184452815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704369243
1105 SIXTH ST, Traverse City, MI 49684
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alycia Rae Dzierwa Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911433545
PECOS Enrollment IDI20241206000243
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Alycia Dzierwa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grand Traverse Physician Services PC
Same address
Hospitalist
1105 6TH ST
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 124 clinicians in this Medicare group
NPI 1932913217 (231) 935-5000
Cherry Bend Family Care, Plc
2.2 mi
Family Medicine
10223 E CHERRY BEND RD
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1801811369 (231) 929-7933
Wexford Physician Services PC
38 mi
Hospitalist
400 HOBART ST
Cadillac, MI 49601
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
NPI 1649084260 (231) 876-7200
Sound Inpatient Physicians-Michigan PLLC
46 mi
Internal Medicine
1100 E MICHIGAN AVE
Grayling, MI 49738
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
NPI 1639311996 (989) 348-5461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD J WALSH MD
Radiology (Diagnostic Radiology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0497
STEVEN BONKOSKI PHARMD
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
DR. ARIEL MARIE ENNIS NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3250
MRS. MICHELLE K HEARN PHARM.D.
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6581
MUNSON MEDICAL CENTER
Obstetrics & Gynecology (Gynecologic Oncology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
KRISTINE A SIEMER OTR/L, CHT
Occupational Therapist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8600
MRS. MEGAN MIRANDA GAGE CCC-SLP
Speech-Language Pathologist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
ALYSON M BOOTH MD
Pathology (Anatomic Pathology & Clinical Pathology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alycia Dzierwa's NPI number?

The NPI number for Alycia Dzierwa is 1184452815. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Alycia Dzierwa located?

Alycia Dzierwa practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 935-5000.

What is Alycia Dzierwa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alycia Dzierwa enrolled in Medicare?

Yes. Alycia Dzierwa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alycia Dzierwa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alycia Dzierwa reassigns Medicare benefits to 4 organizations: Grand Traverse Physician Services PC (Traverse City, MI), Cherry Bend Family Care, Plc (Traverse City, MI), Wexford Physician Services PC (Cadillac, MI) and Sound Inpatient Physicians-Michigan PLLC (Grayling, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alycia Dzierwa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alycia Dzierwa accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Alycia Dzierwa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alycia Dzierwa affiliated with any hospitals?

According to CMS data, Alycia Dzierwa is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Alycia Dzierwa was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.