Individual provider Active NPI

Alyssa Hill Micken, CRNP

  • Family Nurse Practitioner
  • West Chester, PA
National Provider Identifier
1841759693
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020141 Issued in PA
Practice address
760 Miles Rd
West Chester, PA 19380-1950
Phone
(866) 389-2727
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020141 PA Primary

Addresses

Primary practice location

760 Miles Rd
West Chester, PA 19380-1950

Mailing address

760 Miles Rd
West Chester, PA 19380-1950

Other practice location 1

139 Berkley Rd
Devon, PA 19333-1544
Phone (610) 687-0715

Other names 1

  • Alyssa Marie Hill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20190718003143 PA Practitioner - Nurse Practitioner 6103151790 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince Jun 14, 2023 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Jun 14, 2023 Accepting new patients

Locations

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

760 Miles Rd
West Chester, PA 19380
Phone (610) 429-3477

Organizations & group practices 2

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1841759693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 MILES RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MILES RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801950",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Berkley Rd",
            "address_purpose": "LOCATION",
            "city": "Devon",
            "state": "PA",
            "postal_code": "193331544",
            "country_code": "US",
            "telephone_number": "610-687-0715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICKEN",
        "first_name": "ALYSSA",
        "middle_name": "HILL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "HILL",
            "middle_name": "MARIE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.