Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alisha Deponio, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1720749344

Alisha Deponio, AGACNP-BC is a Nurse Practitioner in Traverse City, Michigan. Qualified in 2021, 5 years ago. Practices with Munson Medical Group, a 189-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

1200 Sixth St Ste 200
Traverse City, MI 49684-2369
Phone: (231) 935-5800
Fax: (231) 935-5799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1105 Sixth St, Traverse City, MI 49684-2345 — (231) 935-5000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704284761NSA2111S (MI)

Record details

NPI number1720749344
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Munson Medical Group — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients16
Services billed 16 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Munson Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 189 clinicians in the practice; 12 are shown here.

Other providers in Traverse City