Individual provider Active NPI

Alyssa Allen, RN

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1053896902
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
232030 Issued in AZ
Practice address
2711 N Linda Cir
Mesa, AZ 85213-1576
Phone
(602) 430-4187
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 232030 AZ Primary
Registered Nurse 163W00000X RN190002 AZ

Addresses

Primary practice location

2711 N Linda Cir
Mesa, AZ 85213-1576

Mailing address

2711 N Linda Cir
Mesa, AZ 85213-1576
Phone (602) 430-4187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20191010001516 AZ Practitioner - Nurse Practitioner 6901137694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eminence Medical Clinic PLLCGroup PAC ID 7911363908, 3 clinicians

Practice addresses (Care Compare)

2815 S Alma School Rd
Suite 112
Mesa, AZ 85210-4046
Phone (480) 221-2227

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Casa Grande, AZ, CCN 037252

Merit-based Incentive Payment System (MIPS)

Final score
77.24 of 100Reported as group
Quality
66.21
Improvement activities
40
Cost
66.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN190002AZMDRegistered Nurse
232030AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Medical Group PLLC Family CurrentSince May 12, 2025 Accepting new patients
Eminence Medical Clinic PLLC Family CurrentSince May 12, 2025 Accepting new patients

Locations

2815 S Alma School Rd
Ste 112
Mesa, AZ 85210
Phone (480) 221-2227

2815 S Alma School Rd
Ste 112113
Mesa, AZ 85210
Phone (480) 795-8577

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: alyssa.allen@57560418353156.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1053896902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N LINDA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852131576",
            "telephone_number": "602-430-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N LINDA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852131576",
            "telephone_number": "602-430-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ALYSSA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "232030",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN190002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.