Individual provider Active NPI

Alissa Steele, PA-C

  • Physician Assistant
  • Sault Sainte Marie, MI
National Provider Identifier
1750833513
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008010 Issued in MI
Practice address
500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822
Phone
(906) 635-4460
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 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 5601008010 MI Primary

Addresses

Primary practice location

500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822

Mailing address

1900 Little Raven St
Apt 319
Denver, CO 80202-7169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220616002115 CO Practitioner - Physician Assistant 2365722741 Reassigns benefits to 1 organization
I20240816003234 IL Practitioner - Physician Assistant 2365722741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Central Michigan College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalskin Medical Group Il PLLCGroup PAC ID 5991116261, 56 clinicians

Practice addresses (Care Compare)

150 N Michigan Ave
Suite 1200
Chicago, IL 60601-7605
Phone (312) 263-4625

1733 N Harlem Ave
Chicago, IL 60707-4305
Phone (773) 237-6666

374 Larry Power Rd
Bourbonnais, IL 60914-5187
Phone (815) 933-2227

917 Remington Rd
Mattoon, IL 61938-4210
Phone (217) 205-3376

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601008010MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC Physician Assistant CurrentSince Sep 1, 2024 Accepting new patients
Dermatology and Aesthetics of Wicker Park, PLLC Past Accepting new patients

Locations

374 Larry Power Rd
Bourbonnais, IL 60914
Phone (815) 933-2227

150 N Michigan Ave
Ste 1200
Chicago, IL 60601
Phone (312) 263-4625

1733 N Harlem Ave
Chicago, IL 60707
Phone (773) 237-6666

917 Remington Rd
Mattoon, IL 61938
Phone (217) 205-3376

1111 W Kenyon Rd
Urbana, IL 61801
Phone (217) 729-7650

Interoperability endpoints

  • Direct secure messaging: alissa.steele@adcs1.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1750833513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LITTLE RAVEN ST",
            "address_2": "APT 319",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802027169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OSBORN BLVD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831822",
            "telephone_number": "906-635-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "ALISSA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.