NPIMap

Individual provider Active NPI

Alysse Milano, PA-C

  • Physician Assistant
  • Brush, CO
National Provider Identifier
1669048609
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2603 Ruhl Rd
Brush, CO 80723-1304
Phone
(970) 380-5581
NPI assigned
Jun 1, 2021
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2603 Ruhl Rd
Brush, CO 80723-1304

Mailing address

2603 Ruhl Rd
Brush, CO 80723-1304
Phone (970) 380-5581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA, CO3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220106001559 NM Practitioner - Physician Assistant 6608267331 Reassigns benefits to 1 organization
I20251027001629 CA Practitioner - Physician Assistant 6608267331 Reassigns benefits to 1 organization
I20260220002220 CO Practitioner - Physician Assistant 6608267331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lompoc Valley Medical CenterGroup PAC ID 9739275595, 90 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1225 N H St
Lompoc, CA 93436-3301
Phone (805) 737-8700

2127 E Harmony Rd
Suite 140 Uchmg Harmony Urgent Care
Fort Collins, CO 80528-3406
Phone (970) 297-6250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Single Specialty CurrentSince Oct 25, 2021 Accepting new patients
Poudre Valley Medical Group, LLC Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
Poudre Valley Medical Group, LLC Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
Lompoc Valley Medical Center Single Specialty CurrentSince Jul 11, 2025 Accepting new patients
Poudre Valley Medical Group, LLC PastSince Jul 1, 2022 Accepting new patients

Locations

1225 N H St
Lompoc, CA 93436
Phone (805) 737-8700

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

5965 Firestone Blvd
Bldg B
Firestone, CO 80504
Phone (720) 652-7055

2127 E Harmony Rd
Ste 140
Fort Collins, CO 80528
Phone (970) 207-4800

2819 35th Ave
Greeley, CO 80634
Phone (970) 652-2801

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 652-2447

4846 Larimer Pkwy
Bldg 1
Johnstown, CO 80534
Phone (970) 624-2830

2970 Arapahoe Rd
Lafayette, CO 80026
Phone (303) 460-6010

2101 Main St
Longmont, CO 80501
Phone (720) 745-8030

1159 Eagle Dr
Loveland, CO 80537
Phone (970) 219-5223

221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: amilano207174@direct.phs.org

Organizations & group practices 6

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1669048609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 RUHL RD",
            "city": "BRUSH",
            "state": "CO",
            "postal_code": "807231304",
            "telephone_number": "970-380-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 RUHL RD",
            "city": "BRUSH",
            "state": "CO",
            "postal_code": "807231304",
            "telephone_number": "970-380-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILANO",
        "first_name": "ALYSSE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brush, CO

Sources for this page

Verify at the official NPI Registry.