Active NPI
Alysia M. Krueger, APNP
- Family Nurse Practitioner
- Middleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14368-33
- Practice address
- 3030 Laura LN Ste 130
Middleton, WI 53562-1872 - Phone
- (888) 688-4746
- Fax
- (608) 960-7789
- NPI assigned
- May 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14368-33 | WI | Primary |
Addresses
Primary practice location
3030 Laura LN Ste 130
Middleton, WI 53562-1872
Mailing address
3030 Laura LN Ste 130
Middleton, WI 53562-1872
Phone (888) 688-4746
Other names 1
- Alysia M. Moen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Air Park Dr
Watertown, WI 53094-7400
Phone (262) 928-5100
Hospital & facility affiliations
- Waukesha Memorial Hospital
- Oconomowoc Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Medical Center LLC | Current | Accepting new patients | |
| Care Medical Center LLC | Current | Accepting new patients | |
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| Pivotal Health, Inc. | Current | Accepting new patients | |
| Tri-City Express Care, PLLC | Past | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925
3030 Laura Ln
Ste 130
Middleton, WI 53562
Phone (888) 688-4746
109 Air Park Dr
Watertown, WI 53094
Phone (262) 928-5100
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://api.platform.athenahealth.com/23915/brand/1/csg/1/fhir/r4
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.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Family Medicine Physician
- Middleton, WI
- NPI 1508465220
-
- Exclusive Provider Organization
- Valdosta, GA
- NPI 1063521250
-
- Internal Medicine Physician
- Watertown, WI
- NPI 1629119417
-
- Chiropractor
- Waycross, GA
- NPI 1376236232
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
-
- General Practice Physician
- Tucson, AZ
- NPI 1235409012
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oconomowoc, WI
- NPI 1366420531
-
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
Hospital
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1770920779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 LAURA LN STE 130",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535621872",
"telephone_number": "888-688-4746",
"fax_number": "608-960-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 LAURA LN STE 130",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535621872",
"telephone_number": "888-688-4746",
"fax_number": "608-960-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "ALYSIA",
"middle_name": "M.",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-30",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "14368-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSIA",
"last_name": "MOEN",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.