Alyssa Kersch, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN-0997094-NP Issued in CO

Practice address

12235 Angelina Dr
Peyton, CO 80831-7090

Phone

(310) 941-4822

NPI assigned

Dec 7, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Housecalls LLCGroup PAC ID 0840212809, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Colorado Springs, CO, CCN 067449
• Bloom Hospice Hospice, Lakewood, CO, CCN 061618
• Brighton Hospice Colorado Springs LLC Hospice, Colorado Springs, CO, CCN 061636

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CICGBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physician Housecalls LLC

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1295789824

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bloom Hospice LLC

  • Community Based Hospice Care Agency
  • Lakewood, CO
  • NPI 1093470684
  Care Compare affiliation
• Brighton Hospice Colorado Springs LLC

  • Community Based Hospice Care Agency
  • Colorado Springs, CO
  • NPI 1477323889
  Care Compare affiliation
• Eh Home Health of Colorado LLC

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1346481710
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1003574005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12235 ANGELINA DR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808317090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12235 ANGELINA DR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808317090",
            "telephone_number": "310-941-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSCH",
        "first_name": "ALYSSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN-0997094-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT-GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER",
            "identifier": "AG10210147",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER - APN",
            "identifier": "APN-0997094-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER - RNX",
            "identifier": "RXN-0106201-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay B Johnson, DMD
• Just for Grins LLC
• Michelle Dannette Keck, REGISTERED NURSE
• Sabrina Keller
• Ronald Kelly
• Kylee Kimball, DPT
• Phillip Graden Kleinman, MSN
• Christin Knapek
• Brandi Knaus, LCSW
• Krzyinc

• Nurse Practitioner in Peyton, CO
• Providers in Peyton, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.