Alyssa N Wislander, ARNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

L109037 Issued in IA

Practice address

2906 W Central Park Ave Ste 1
Davenport, IA 52804-2674

Phone

(563) 386-8200

Fax

(563) 391-1936

NPI assigned

Aug 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 1, 2021 through Mar 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Kidney Specialists, PC

  • Nephrology Physician
  • Bettendorf, IA
  • NPI 1598935488
  NPD (past)

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1700166139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 W CENTRAL PARK AVE STE 1",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528042674",
            "telephone_number": "563-386-8200",
            "fax_number": "563-391-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 W CENTRAL PARK AVE STE 1",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528042674",
            "telephone_number": "563-386-8200",
            "fax_number": "563-391-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISLANDER",
        "first_name": "ALYSSA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C178274",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "L109037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rickey L. Wilson, M.D.
• Laura L Winchip, DC
• Craig A Winder
• Allyson Winter, DO
• Kimberly J Wise, PH.D., M.AUD., CCC-A
• Mary Wisnieski, LMSW
• William J Witcik, M.D,
• Stephanie Witherow, FNP
• Shelley A Witt-Gentile, MA/CCC-A
• Brian Daniel Witt, M.D.

• Acute Care Nurse Practitioner in Davenport, IA
• Providers in Davenport, IA by specialty
• Acute Care Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.