Active NPI
Alyssa Lakin, PA C
- Family Medicine Physician
- Maquoketa, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 002423
- Practice address
- 206 N Arcade
Maquoketa, IA 52060-2022 - Phone
- (563) 652-6711
- Fax
- (563) 652-6715
- NPI assigned
- May 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Family Medicine Physician | 207Q00000X | 002423 | IA | Primary |
Addresses
Primary practice location
206 N Arcade
Maquoketa, IA 52060-2022
Mailing address
4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone (563) 652-6711
Other practice location 1
2300 53rd Ave Ste 100
Bettendorf, IA 52722-7565
Phone (563) 322-0971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
1302 7TH St
Suite 202
Moline, IL 61265-2900
Phone (309) 277-0772
1520 W 53Rd St
Mercyone Genesis Northwest Convenie
Davenport, IA 52806-2459
Phone (563) 421-3800
1800 E 54TH St
Suite B
Davenport, IA 52807-2852
Phone (563) 344-7546
2300 A Park Ave
Muscatine, IA 52761-5444
Phone (563) 263-2113
301 N 4TH Ave
Mercyone Genesis Eldridge
Eldridge, IA 52748-1113
Phone (563) 421-9880
4321 53Rd Ave
Bettendorf, IA 52722-1269
Phone (563) 421-5300
4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone (309) 674-7546
619 5TH St
Durant, IA 52747-7737
Phone (563) 785-4487
Hospital & facility affiliations
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Genesis Medical Center-Davenport
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.53 of 100
- Quality
- 92.42
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002423 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients | |
| Soderstrom Dermatology Center S C | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Family Medicine | Current | Accepting new patients |
| Ora Orthopedics, PC | Past | Accepting new patients |
Locations
2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005
2027 S 21st St
Clinton, IA 52732
Phone (563) 242-3571
1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191
210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436
1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431
1800 E 54th St
Ste B
Davenport, IA 52807
Phone (563) 242-3571
1950 E 54th St
Davenport, IA 52807
Phone (563) 344-7546
619 5th St
Durant, IA 52747
Phone (563) 785-4487
2300A Park Ave
Muscatine, IA 52761
Phone (563) 263-2113
202 Picard St
Alpha, IL 61413
Phone (309) 629-4601
306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329
60 S Soangetaha Rd
Galesburg, IL 61401
Phone (309) 344-5777
1302 7th St
Ste 202
Moline, IL 61265
Phone (309) 277-0772
4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546
Interoperability endpoints
- alakin@directaddress.net
Organizations & group practices 8
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.
-
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
-
- Family Medicine Physician
- Maquoketa, IA
- NPI 1407845175
-
- Orthopaedic Surgery Physician
- Moline, IL
- NPI 1962481861
-
- Anatomic Pathology & Clinical Pathology Physician
- Davenport, IA
- NPI 1295196798
-
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1629415922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 N GLEN PARK PLACE RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616144676",
"telephone_number": "563-652-6711",
"fax_number": "563-652-6715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N ARCADE",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "520602022",
"telephone_number": "563-652-6711",
"fax_number": "563-652-6715"
}
],
"practiceLocations": [
{
"address_1": "2300 53rd Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Bettendorf",
"state": "IA",
"postal_code": "527227565",
"country_code": "US",
"telephone_number": "563-322-0971",
"fax_number": "563-324-0615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAKIN",
"first_name": "ALYSSA",
"name_prefix": "Ms.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "002423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maquoketa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.