Doctor profile · Federal record

Dr. Samuel Nystrom

Family Medicine Physician · Family Medicine Physician · Fruitport, MI

  • NPI 1760235600
  • 2 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3443 Farr RD
Fruitport, MI 494158779
(231) 672-2900
Mailing address
1675 Leahy St Ste 315
Muskegon, MI 494425543

Credentials & registration

NPPES · NUCC
NPI registered
April 2024 — 2 yrs on file
Profile last updated
April 14, 2024
Specialty taxonomy
207Q00000X — NUCC code
State licenses (2)
Michigan #5151016783 · Michigan #5315248864

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1760235600. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$17
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
CooperSurgical, Inc. 1 $16.50

By nature of payment

Food and Beverage
$17

Frequently asked questions

Auto-generated from federal data
What is Dr. Samuel Nystrom's medical specialty?
Dr. Samuel Nystrom practices Family Medicine Physician in Fruitport, MI.
Where does Dr. Samuel Nystrom practice?
Dr. Samuel Nystrom practices at 3443 Farr RD, Fruitport, MI 494158779. Office phone: 2316722900.
What is Dr. Samuel Nystrom's NPI?
Dr. Samuel Nystrom's National Provider Identifier (NPI) is 1760235600, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 29, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›