Individual provider Active NPI

Alyssa D Mrsny, PA-C

  • Physician Assistant
  • Dakota Dunes, SD
National Provider Identifier
1366826109
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1175 Issued in SD
Practice address
705 N Sioux Point Rd Ste 100
Dakota Dunes, SD 57049-5091
Phone
(605) 217-5500
Fax
(605) 217-5515
NPI assigned
Jul 10, 2015
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1926 NE
Physician Assistant 363A00000X 0093943 IA
Physician Assistant 363A00000X 1175 SD Primary

Addresses

Primary practice location

705 N Sioux Point Rd Ste 100
Dakota Dunes, SD 57049-5091

Mailing address

705 N Sioux Point Rd Ste 100
Dakota Dunes, SD 57049-5091
Phone (605) 217-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190510001751 SD Practitioner - Physician Assistant 0042523029 Reassigns benefits to 1 organization
I20191219001239 IA Practitioner - Physician Assistant 0042523029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cnos PCGroup PAC ID 4284548942, 98 clinicians

Practice addresses (Care Compare)

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500

2735 Outer Dr N
Cnos Northside
Sioux City, IA 51104-1590
Phone (712) 224-5692

4301 Sergeant Rd
Suite 120
Sioux City, IA 51106-4710
Phone (605) 217-2667

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667

705 N Sioux Point Rd
Suite 100
Dakota Dunes, SD 57049-5091
Phone (605) 217-2667

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
82.54
Promoting interoperability
89.05
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1926NEMDRegistered Respiratory Therapist
0093943IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cnos, PC CurrentSince Jan 1, 2023 Accepting new patients
Cnos PC CurrentSince Jan 1, 2023 Accepting new patients

Locations

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 255-2324

2735 Outer Dr N
Sioux City, IA 51104
Phone (712) 224-5692

4301 Sergeant Rd
Ste 120
Sioux City, IA 51106

5708 Sunnybrook Ct
Sioux City, IA 51106
Phone (605) 217-2867

575 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-2615

705 N Sioux Point Rd
Ste 100
North Sioux City, SD 57049
Phone (605) 217-5566

1104 W 8th St
Yankton, SD 57078
Phone (605) 665-7841

Interoperability endpoints

  • Direct secure messaging: alyssamrsny@cnos.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1366826109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N SIOUX POINT RD STE 100",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495091",
            "telephone_number": "605-217-5500",
            "fax_number": "605-217-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N SIOUX POINT RD STE 100",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495091",
            "telephone_number": "605-217-5500",
            "fax_number": "605-217-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRSNY",
        "first_name": "ALYSSA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1926",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "0093943",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.