THAMINA ALI ISSA AGACNP-BC
NPI 1790457455
Nurse Practitioner - Acute Care in Ypsilanti, MI
About Thamina Ali Issa Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THAMINA ALI ISSA AGACNP-BC (NPI 1790457455) is an individual acute care provider in Ypsilanti, Michigan, licensed in Michigan (4704321266) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thamina Ali Issa Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Thamina Issa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ypsilanti, MI 48197
- Reassigned Medicare billing, Michigan enrollment
- 1,480 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48197 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Thamina Issa's NPI number?
The NPI number for Thamina Issa is 1790457455. It was assigned to this individual provider in the NPPES registry on October 1, 2021.
Where is Thamina Issa located?
Thamina Issa practices at 5459 Whittaker Rd, Ypsilanti, MI 48197. The listed phone number is (734) 945-7394.
What is Thamina Issa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Thamina Issa enrolled in Medicare?
Yes. Thamina Issa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Thamina Issa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thamina Issa reassigns Medicare benefits to Iha Health Services Corporation (Ypsilanti, MI). The 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 Thamina Issa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thamina Issa accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Thamina Issa 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.
When was this NPI record last updated?
The NPPES record for Thamina Issa was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Thamina Ali Issa, AGACNP-BC · NPI 1790457455
Acute Care physician in Ypsilanti, Michigan. Individual provider, active in the CMS NPPES registry since October 1, 2021.
## Identity
- **NPI:** 1790457455 (Entity type: Individual)
- **Enumerated:** October 1, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 4704321266 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 5459 WHITTAKER RD, Ypsilanti, MI 48197-9751
- **Phone:** (734) 945-7394
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Iha Health Services Corporation (NPI 1235659574, Ypsilanti, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1790457455) · Data from the CMS NPPES public registry.