Alyssa Lyn Balko, AU.D.
Individual provider Active NPI Audiologist · Mauston, WI
NPI 1104758523 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1104758523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 690 Kennedy St
Mauston, WI 53948-1404 - Phone
- (608) 847-1422
- NPI assigned
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | WI | Yes |
Addresses
Primary practice location
690 Kennedy St
Mauston, WI 53948-1404
Mailing address
690 Kennedy St
Mauston, WI 53948-1404
Phone (608) 847-1422
Other providers in Mauston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.