Individual provider Active NPI

Alyssa Skalitzky, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kenosha, WI
National Provider Identifier
1598906596
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3667-033 Issued in WI
Practice address
1010 35TH St
Kenosha, WI 53140-1902
Phone
(262) 725-4426
Fax
(262) 299-7136
NPI assigned
Mar 20, 2009
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 3667-033 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3667-033 WI Primary

Addresses

Primary practice location

1010 35TH St
Kenosha, WI 53140-1902

Mailing address

1010 35TH St
Kenosha, WI 53140-1902
Phone (920) 420-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20090622000402 WI Practitioner - Nurse Practitioner 9133270747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Family Psychiatric Care LLCGroup PAC ID 8123385648, 6 clinicians

Practice addresses (Care Compare)

1114 56TH St
Kenosha, WI 53140-3668
Phone (262) 725-4426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3667-033WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychiatric Care, LLC Psychiatric/Mental Health CurrentSince Jul 31, 2017 Accepting new patients
Aalto Enhancement Center, S.C. CurrentSince May 1, 2009 Accepting new patients

Locations

1010 35th St
Kenosha, WI 53140
Phone (262) 652-3500

1114 56th St
Kenosha, WI 53140
Phone (262) 725-4426

8503 75th St
Ste A
Kenosha, WI 53142
Phone (262) 654-9370

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.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1598906596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 35TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401902",
            "telephone_number": "920-420-6333",
            "fax_number": "262-299-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 35TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401902",
            "telephone_number": "262-725-4426",
            "fax_number": "262-299-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALITZKY",
        "first_name": "ALYSSA",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3667-033",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "3667-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.