Individual provider Active NPI

Alyssa Joan Krueger, APRN

  • Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1205526894
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11026592 Issued in FL
Practice address
1285 36TH St Ste 200
Vero Beach, FL 32960-6588
Phone
(772) 562-9923
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11026592 FL Primary
Registered Nurse 163W00000X RN9271263 FL

Addresses

Primary practice location

1285 36TH St Ste 200
Vero Beach, FL 32960-6588

Mailing address

3205 67TH St
Vero Beach, FL 32967-5995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230911000183 FL Practitioner - Nurse Practitioner 4284098211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian J.Deonarine, MD PAGroup PAC ID 3678725397, 2 clinicians

Practice addresses (Care Compare)

1285 36TH St
Suite 200
Vero Beach, FL 32960-6588
Phone (772) 562-9923

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9271263FLMDRegistered Nurse
11026592FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie Welton DO PA CurrentSince Dec 15, 2023 Accepting new patients
Brian J.Deonarine, MD PA CurrentSince Jan 1, 2025 Accepting new patients

Locations

3735 11th Cir
Ste 201
Vero Beach, FL 32960
Phone (772) 299-7009

1285 36th St
Ste 200
Vero Beach, FL 32960
Phone (772) 562-8465

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

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

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1205526894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 67TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329675995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 36TH ST STE 200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606588",
            "telephone_number": "772-562-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "ALYSSA",
        "middle_name": "JOAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11026592",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9271263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.