Individual provider Active NPI

Allyssa Jean Clapsaddle, PA-C

  • Physician Assistant
  • Libertyville, IL
National Provider Identifier
1982156485
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.005983 Issued in IL
Practice address
1240 N Milwaukee Ave Ste a
Libertyville, IL 60048-1307
Phone
(847) 367-5575
Fax
(847) 367-5579
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 085.005983 IL Primary

Addresses

Primary practice location

1240 N Milwaukee Ave Ste a
Libertyville, IL 60048-1307

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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
I20191104000658 IL Practitioner - Physician Assistant 7719219211
I20260307000027 WI Practitioner - Physician Assistant 7719219211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlander Dermatology LLCGroup PAC ID 5698051365, 6 clinicians

Practice addresses (Care Compare)

16650 W Bluemound Rd
Suite 800
Brookfield, WI 53005-5970
Phone (262) 290-4540

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.005983ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Highlander Dermatology LLC CurrentSince Jan 26, 2026 Accepting new patients

Locations

16650 W Bluemound Rd
Ste 800
Brookfield, WI 53005
Phone (262) 290-4540

16650 W Bluemound Rd
Ste 600
Brookfield, WI 53005
Phone (262) 290-4540

5600 W Rawson Ave
Unit 101
Franklin, WI 53132
Phone (262) 290-4540

Interoperability endpoints

  • Direct secure messaging: allyssa.clapsaddle@forefrontdermatology.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1982156485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N MILWAUKEE AVE STE A",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481307",
            "telephone_number": "847-367-5575",
            "fax_number": "847-367-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAPSADDLE",
        "first_name": "ALLYSSA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.005983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.