MRS. PAMELA ANN DUSSEAU FNP
NPI 1295335305
Nurse Practitioner - Family in Traverse City, MI

Q: What is Pamela Dusseau's NPI number?

The NPI number for Pamela Dusseau is 1295335305. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Q: What is Pamela Dusseau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pamela Dusseau was last updated on June 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 28, 2020PECOS Enrolled

5246 N ROYAL DR, TRAVERSE CITY, MI 49684(231) 935-0957(231) 935-0961 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2022, Aug 5, 2021, Oct 28, 2020 (3 updates tracked since 2020).

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About Mrs. Pamela Ann Dusseau Fnp NPPES

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

MRS. PAMELA ANN DUSSEAU FNP (NPI 1295335305) is an individual family provider in Traverse City, Michigan, licensed in Michigan (4704239577) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1295335305

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. PAMELA ANN DUSSEAUCredential: FNP

Location Address5246 N ROYAL DRTraverse City, MI 49684-6984

Mailing Address2593 Nelson RdTraverse City, MI 49686-8557 · (231) 313-6993

Phone(231) 935-0957

Fax(231) 935-0961

Sole ProprietorYes

Enumeration DateOctober 28, 2020

Last NPPES UpdateJune 23, 20223 updates tracked since enumeration

NPPES CertifiedJune 23, 2022

✔ NPI 1295335305 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 · 4704239577

5246 N ROYAL DR, Traverse City, MI 49684

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Secondary Practice Locations 4

Location 11105 Sixth StTraverse City, MI 49684-2345 · Phone (231) 935-5000

Location 2224 Park AveFrankfort, MI 49635-9658 · Phone (231) 352-2200 · Fax (231) 835-2534

Location 39975 W Ottawa AveEmpire, MI 49630-9618 · Phone (231) 835-2088 · Fax (231) 835-2534

Location 42585 W Houghton Lake DrPrudenville, MI 48651-9624 · Phone (989) 366-2900 · Fax (989) 366-1166

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Pamela Ann Dusseau Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.