Alyssa Kathryn Eich, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11361 Issued in MN

Practice address

833 River Ter
Prescott, WI 54021-7043

Phone

(651) 269-7577

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alyssa Kathryn Volmer-Johnson Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Winona Health Services

  • General Acute Care Hospital
  • Winona, MN
  • NPI 1295789352
  Medicare reassignment NPD
• Winona Health Services

  dba Winona Health Services - Dialysis Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winona, MN
  • NPI 1447334602
  NPD (past)

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1679308076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 RIVER TER",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540217043",
            "telephone_number": "651-269-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 RIVER TER",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540217043",
            "telephone_number": "651-269-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICH",
        "first_name": "ALYSSA",
        "middle_name": "KATHRYN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "11361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "VOLMER-JOHNSON",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• CCG Prescott, Inc (Prescott Nursing and Rehabilitation Community)
• Melanie Rachel Charette
• Samantha Clare
• Diana Devries
• Justice Rose Dunning, LPN
• Karyn Lynn Ekelin, D.C.
• Feuillerat, D.D.S., S.C. (Scenic Bluffs Dental)
• Jay Feuillerat, DDS
• Kurt R. Fuchs, M.D.
• Alisa Garr

• Pediatric Nurse Practitioner in Prescott, WI
• Providers in Prescott, WI by specialty
• Pediatric Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.