Individual provider Active NPI

Alyssa Ann-Rachel Wegener, APRN-NP

  • Family Nurse Practitioner
  • Newberg, OR
National Provider Identifier
1942067947
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10021767 Issued in OR
Practice address
2251 E Hancock St Ste 103
Newberg, OR 97132-2145
Phone
(971) 281-3000
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 10021767 OR Primary

Addresses

Primary practice location

2251 E Hancock St Ste 103
Newberg, OR 97132-2145

Mailing address

PO Box 6149
Aloha, OR 97007-0149
Phone (971) 281-3000

Other names 1

  • Alyssa Ann-Rachel Malech Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240620002749 OR Practitioner - Nurse Practitioner 7012450844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2251 E Hancock St
Suite 100
Newberg, OR 97132-2145
Phone (971) 281-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Garcia Memorial Health Center Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1942067947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6149",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970070149",
            "telephone_number": "971-281-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 E HANCOCK ST STE 103",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322145",
            "telephone_number": "971-281-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGENER",
        "first_name": "ALYSSA",
        "middle_name": "ANN-RACHEL",
        "credential": "APRN-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10021767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "MALECH",
            "middle_name": "ANN-RACHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newberg, OR

Sources for this page

Verify at the official NPI Registry.