Individual provider Active NPI

Alyssa Ann Trawitzki, MD

  • Family Medicine Physician
  • Green Bay, WI
National Provider Identifier
1649569252
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60992-20 Issued in WI
Practice address
2714 Riverview Dr
Green Bay, WI 54313-6715
Phone
(920) 430-4760
Fax
(920) 430-4774
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60992-20 WI Primary

Addresses

Primary practice location

2714 Riverview Dr
Green Bay, WI 54313-6715

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210

Other practice location 1

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3500

Other practice location 2

405 Commercial St
Seymour, WI 54165-8474
Phone (920) 833-2318

Other practice location 3

555 Quality Ct
Wrightstown, WI 54180-9006
Phone (920) 532-6320

Other practice location 4

1630 Commanche Ave
Green Bay, WI 54313-5753
Phone (920) 430-4700

Other practice location 5

218 S Hwy 141
Crivitz, WI 54114-1677
Phone (715) 854-7477

Other practice location 6

820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100

Other identifiers 1

IdentifierTypeStateIssuer
1047469659OtherAMERICAN BOARD OF FAMILY PRACTICE

Other names 1

  • Alyssa Ann Kasper Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918000050 WI Practitioner - Family Practice 3274752514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

555 Quality CT
Wrightstown, WI 54180-9006
Phone (920) 532-6320

Hospital & facility affiliations

  • Unity Hospice Hospice, De Pere, WI, CCN 521503
  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049
  • Rennes Health and Rehab Center-De Pere Nursing home, De Pere, WI, CCN 525573

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oconto Hospital & Medical Center, Inc. Family Medicine CurrentSince Sep 14, 2022 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc Family Medicine CurrentSince Sep 22, 2014 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine CurrentSince Sep 22, 2014 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine Current Accepting new patients
Oconto Hospital & Medical Center Inc Family Medicine CurrentSince Sep 14, 2022 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine Past Accepting new patients

Locations

218 S US Highway 141
Crivitz, WI 54114
Phone (715) 854-7477

430 S Clay St
Green Bay, WI 54301
Phone (920) 432-5231

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1630 Commanche Ave
Green Bay, WI 54313
Phone (920) 430-4700

2714 Riverview Dr
Green Bay, WI 54313
Phone (920) 430-4760

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

405 Commercial St
Seymour, WI 54165
Phone (920) 833-2318

307 Manor Dr
Suring, WI 54174
Phone (920) 842-2144

555 Quality Ct
Wrightstown, WI 54180
Phone (920) 532-0700

Interoperability endpoints

  • Direct secure messaging: atrawitzki916413@direct.emplifyhealth.org
  • Direct secure messaging: akasper140929@direct.thedacare.org

Organizations & group practices 7

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 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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1649569252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7210",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 RIVERVIEW DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543136715",
            "telephone_number": "920-430-4760",
            "fax_number": "920-430-4774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 S Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013505",
            "country_code": "US",
            "telephone_number": "920-433-3500",
            "fax_number": "920-445-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "WI",
            "postal_code": "541658474",
            "country_code": "US",
            "telephone_number": "920-833-2318",
            "fax_number": "920-833-6883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Quality Ct",
            "address_purpose": "LOCATION",
            "city": "Wrightstown",
            "state": "WI",
            "postal_code": "541809006",
            "country_code": "US",
            "telephone_number": "920-532-6320",
            "fax_number": "920-532-6269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Commanche Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543135753",
            "country_code": "US",
            "telephone_number": "920-430-4700",
            "fax_number": "920-430-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 S Hwy 141",
            "address_purpose": "LOCATION",
            "city": "Crivitz",
            "state": "WI",
            "postal_code": "541141677",
            "country_code": "US",
            "telephone_number": "715-854-7477",
            "fax_number": "715-854-7785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Arbutus Ave",
            "address_purpose": "LOCATION",
            "city": "Oconto",
            "state": "WI",
            "postal_code": "541532004",
            "country_code": "US",
            "telephone_number": "920-835-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAWITZKI",
        "first_name": "ALYSSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "60992-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF FAMILY PRACTICE",
            "identifier": "1047469659",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "KASPER",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.