Individual provider Active NPI

Alyssa Christine Burley

  • Physician Assistant
  • Livonia, MI
National Provider Identifier
1942090477
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601013468 Issued in MI
Practice address
14815 Farmington Rd
Livonia, MI 48154-5429
Phone
(734) 392-8878
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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 5601013468 MI Primary

Addresses

Primary practice location

14815 Farmington Rd
Livonia, MI 48154-5429

Mailing address

14815 Farmington Rd
Livonia, MI 48154-5429
Phone (734) 392-8878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260120000976 MI Practitioner - Physician Assistant 6305323502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3336 Bayshore Pkwy
Arnold, MO 63010-4012

348 E 9 Mile Rd
Hazel Park, MI 48030-1854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad Agha MD PC CurrentSince Dec 16, 2025 Accepting new patients
Hazel Park Urgent Care PLLC CurrentSince Dec 16, 2025 Accepting new patients

Locations

641 W 9 Mile Rd
Ferndale, MI 48220
Phone (248) 399-5212

348 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 268-2566

350 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 268-2566

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": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1942090477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545429",
            "telephone_number": "734-392-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545429",
            "telephone_number": "734-392-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLEY",
        "first_name": "ALYSSA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.