Individual provider Active NPI

Alyssa Graham, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hillsboro, MO
National Provider Identifier
1144023953
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2025004767 Issued in MO
Practice address
4 Hickory Ridge Rd Ste 600
Hillsboro, MO 63050-5117
Phone
(844) 853-8937
NPI assigned
Mar 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2013004125 MO
Registered Nurse 163W00000X 041479599 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025004767 MO Primary

Addresses

Primary practice location

4 Hickory Ridge Rd Ste 600
Hillsboro, MO 63050-5117

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (844) 853-8937

Other practice location 1

1811 Gravois Rd
High Ridge, MO 63049-2668
Phone (844) 853-8937

Other names 1

  • Alyssa Helen Herweck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250429001476 MO Practitioner - Nurse Practitioner 2365968740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041479599ILMDRegistered Nurse
2013004125MOMDRegistered Nurse
2025004767MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Mar 31, 2025 Accepting new patients
Compass Health, Inc CurrentSince Mar 31, 2025 Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1811 Gravois Rd
High Ridge, MO 63049

4 Hickory Ridge Rd
Ste 600
Hillsboro, MO 63050
Phone (636) 481-6040

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.

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1144023953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "844-853-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HICKORY RIDGE RD STE 600",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505117",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 Gravois Rd",
            "address_purpose": "LOCATION",
            "city": "High Ridge",
            "state": "MO",
            "postal_code": "630492668",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ALYSSA",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2013004125",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041479599",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2025004767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "HERWECK",
            "middle_name": "HELEN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsboro, MO

Sources for this page

Verify at the official NPI Registry.