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Mary Nussbaum

NPI 1396479440ActiveIndividual· Physician Assistant· Traverse City, MI

Physician Assistant in Traverse City, Michigan, trained at Nebraska College of Medicine (class of 2023). 209 Medicare patients in 2024, $26,296 paid; nearly all of their 217 Part D prescriptions were generic (99%). Janssen Biotech, Inc. was the largest of 11 companies reporting payments in 2025, $757.16 in all, mostly food and beverage.

Overview

NPI1396479440
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 14, 2022
Last updated in NPPESApr 3, 2024
Certified by providerApr 3, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients209
Services billed789 across 28 procedure codes
Paid by Medicare$26,296

Part D prescriptions in 2024

Prescriptions (claims)217 · 272 30-day fills
Patients131
Total drug cost$5,094
Generic share99% of claims

Medicare sources and data years

Education and affiliations

Medical schoolNebraska College of Medicine
Graduation year2023
Medicare specialtyPhysician Assistant

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$757.16 · 34 payments from 11 companies
  • 2024$361.44 · 11 payments from 4 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$649.00 · 32 payments
  • Education$108.16 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Traverse City

All 144 physician assistants in Traverse City · All physician assistants in Michigan