Individual provider Active NPI

Alyssa Horstman, OD

  • Optometrist
  • Dillingham, AK
National Provider Identifier
1427627876
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2021020613 Issued in MO
Practice address
PO Box 130
Dillingham, AK 99576-0130
Phone
(907) 842-9362
Fax
(907) 842-9563
NPI assigned
Jun 21, 2021
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2021020613 MO Primary

Addresses

Primary practice location

PO Box 130
Dillingham, AK 99576-0130

Mailing address

PO Box 130
Dillingham, AK 99576-0130
Phone (907) 842-9362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NV, TX, CO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220802000235 MO Practitioner - Optometry 4183006562 Reassigns benefits to 1 organization
I20230919002466 NV Practitioner - Optometry 4183006562 Reassigns benefits to 4 organizations
I20240513000135 TX Practitioner - Optometry 4183006562 Reassigns benefits to 1 organization
I20260609004065 CO Practitioner - Optometry 4183006562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone (907) 842-5201

P O Box
Dillingham, AK 99576-0130

PO Box
Suite 130
Dillingham, AK 99576-0130
Phone (907) 842-5201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1174NVMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Summerlin Vision Center Inc Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Vision Center IV LLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Apr 1, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
7 Hills Vision Center LLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Apr 1, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Smithville Eye Center LLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Northwest Vision Center LLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients

Locations

8305 Melrose Dr
Overland Park, KS 66214

5900 NW 63rd Ter
Kansas City, MO 64151
Phone (816) 587-1320

1000 S US Highway 169
Smithville, MO 64089
Phone (816) 873-0202

10608 S Eastern Ave
Ste Hi
Henderson, NV 89052
Phone (702) 617-2750

4343 N Rancho Dr
Ste 116
Las Vegas, NV 89130
Phone (702) 656-6144

6455 S Rainbow Blvd
#100
Las Vegas, NV 89118
Phone (702) 802-4390

7664 W Lake Mead Blvd
Ste 107
Las Vegas, NV 89128
Phone (702) 254-6222

Interoperability endpoints

  • Direct secure messaging: aahorstman@direct.bbahc.org

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 3

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1427627876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "DILLINGHAM",
            "state": "AK",
            "postal_code": "995760130",
            "telephone_number": "907-842-9362",
            "fax_number": "907-842-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "DILLINGHAM",
            "state": "AK",
            "postal_code": "995760130",
            "telephone_number": "907-842-9362",
            "fax_number": "907-842-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSTMAN",
        "first_name": "ALYSSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2021020613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillingham, AK

Sources for this page

Verify at the official NPI Registry.