ALISHA DEPONIO AGACNP-BC
NPI 1720749344
Nurse Practitioner - Acute Care in Traverse City, MI

Active since January 05, 2022PECOS EnrolledAccepts Medicare Assignment
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684(231) 935-5800(231) 935-5799 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2022, Jan 5, 2022 (2 updates tracked since 2022).

About Alisha Deponio Agacnp-bc NPPES

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

ALISHA DEPONIO AGACNP-BC (NPI 1720749344) is an individual acute care provider in Traverse City, Michigan, licensed in Michigan (4704284761NSA2111S) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1720749344
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameALISHA DEPONIOCredential: AGACNP-BC
Location Address1200 SIXTH ST STE 200Traverse City, MI 49684-2369
Mailing Address1200 Sixth St Ste 200Traverse City, MI 49684-2369 · (231) 935-5800 · Fax (231) 935-5799
Fax(231) 935-5799
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 5, 2022
Last NPPES UpdateJune 8, 20222 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
NPI 1720749344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704284761NSA2111S
1200 SIXTH ST STE 200, Traverse City, MI 49684

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alisha Deponio Agacnp-bc 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 ID446694814
PECOS Enrollment IDI20240214001575
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.

Areas of Expertise CMS Part B claims

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
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.

Physician Assistant (Medical)
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684
Nurse Practitioner (Family)
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684
Nurse Practitioner (Family)
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684
Nurse Practitioner
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684
Nurse Practitioner (Family)
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684

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 Alisha Deponio's NPI number?

The NPI number for Alisha Deponio is 1720749344. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Alisha Deponio located?

Alisha Deponio practices at 1200 Sixth St Ste 200, Traverse City, MI 49684. The listed phone number is (231) 935-5800.

What is Alisha Deponio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Alisha Deponio enrolled in Medicare?

Yes. Alisha Deponio 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.

What insurance does Alisha Deponio accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Alisha Deponio 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 Alisha Deponio affiliated with any hospitals?

According to CMS data, Alisha Deponio is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Alisha Deponio was last updated on June 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.