Heather Nystrom, NNP-BC
NPI 1649508854 · Neonatal Nurse Practitioner · Detroit, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Nystrom, NNP-BC is a Neonatal Nurse Practitioner provider in Detroit, MI (NPI 1649508854).
Provider details
- NPI number
- 1649508854
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704203209 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3601 W 13 Mile RdRoyal Oak, MI 48073-6712Phone: (248) 898-5000
Registry dates
- Enumerated
- 2009-11-28
- Last updated
- 2022-11-23
- Certified
- 2022-11-23
Frequently asked questions
- What is Heather Nystrom's NPI number?
- Heather Nystrom's National Provider Identifier (NPI) is 1649508854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Nystrom's specialty?
- Heather Nystrom is listed in the NPPES registry with a primary specialty of Neonatal Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Heather Nystrom located?
- Heather Nystrom's practice location on file with NPPES is 2799 W Grand Blvd, Detroit, MI 48202-2608.
- What is Heather Nystrom's phone number?
- The practice phone number listed in the NPPES registry for Heather Nystrom is (313) 916-0467.
- Does Heather Nystrom accept Medicare?
- Heather Nystrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Nystrom's NPI active?
- Yes — Heather Nystrom's NPI (1649508854) is active in the NPPES registry as of the last update on 2022-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.