Individual provider Active NPI

Alyssa Christine Vasiloff, PA-C

  • Physician Assistant
  • Amherst, NY
National Provider Identifier
1285074856
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0166231 Issued in NY
Practice address
1 John James Audubon Pkwy
Amherst, NY 14228-1143
Phone
(716) 204-4500
Fax
(716) 817-1900
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0166231 NY Primary

Addresses

Primary practice location

1 John James Audubon Pkwy
Amherst, NY 14228-1143

Mailing address

2991 Bravura Lake Dr
Sarasota, FL 34240
Phone (716) 867-8450

Other names 1

  • Alyssa Christine Koons Former name

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
I20170905001787 FL Practitioner - Physician Assistant 0840424768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Physician Network LLC Series IIGroup PAC ID 7012282775, 67 clinicians

Practice addresses (Care Compare)

500 John Ringling Blvd
Sarasota, FL 34236-1430
Phone (941) 952-4750

5360 University Pkwy
Sarasota, FL 34243-5800
Phone (941) 917-1234

5590 Bee Ridge Rd
BLDG a
Sarasota, FL 34233-1513
Phone (941) 952-4950

6331 S Tamiami TRL
Global Physician Network LLC Series 1
Sarasota, FL 34231-3917
Phone (941) 917-5678

8431 Pointe Loop Dr
Venice, FL 34293-2232
Phone (941) 261-6800

997 US Hwy 41 Byp N
Ambulatory Care Physicians of Sarasota
Venice, FL 34285-6046
Phone (941) 952-4250

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
86.08
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016623NYMDOccupational Therapist
0166231NYMDPhysician Assistant

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1285074856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 BRAVURA LAKE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34240",
            "telephone_number": "716-867-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOHN JAMES AUDUBON PKWY",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281143",
            "telephone_number": "716-204-4500",
            "fax_number": "716-817-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILOFF",
        "first_name": "ALYSSA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0166231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "KOONS",
            "middle_name": "CHRISTINE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.