Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Alyssa M Brown , CPNP-AC

Nurse Practitioner - Pediatrics β€’ Springfield, IL

Active NPI 1891417283 Individual Practitioner Female Practitioner
Practice location in NPPES

415 N 9th St Ste 4w64
Springfield, IL 627025303

Call 2175458000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

415 N 9th St Ste 4w64

Springfield, IL 627025303

Telephone 2175458000
Fax 2175456654
Organization at the Same NPPES Address or Phone
Siu Physicians & Surgeons, Inc Facility NPI 1164055976

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Alyssa Brown has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Alyssa Brown as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Illinois

16 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Springfield, IL (687 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-18
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES IL 209.025451
Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES MO 2022034477
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230421001155

Enrollment State Jurisdiction

IL

PECOS Control ID

0446627509

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

28 listed
Dr. Janet Albers , MD

Family Medicine

NPI 1023006913

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335
Dr. Mukul Bhattarai , MD

Internal Medicine - Cardiovascular Disease

NPI 1013204262

Doctor of Medicine (M.D.)

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Dr. Basar Cenik , MD

Psychiatry & Neurology - Psychiatry

NPI 1013350446

Doctor of Medicine (M.D.)

Olivia Delay , FNP-C

Nurse Practitioner - Family

NPI 1033795992

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location May 18, 2025

Registered at 415 N 9TH ST STE 4W64, SPRINGFIELD, IL 627025303 (Tel: 2175458000)

πŸ“
Updated Practice Location April 26, 2024

Registered at 400 N 9TH ST FL 2, SPRINGFIELD, IL 627025310 (Tel: 2175458000)

πŸ‘€
Provider Name / Credentials Updated April 26, 2024

Recorded as ALYSSA BROWN, CPNP-AC

πŸ“
Updated Practice Location April 12, 2023

Registered at 400 N 9TH ST, SPRINGFIELD, IL 627025310 (Tel: 2175458000)

πŸ“
Updated Business Mailing Address April 12, 2023

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175458000)

βœ…
NPI Profile Active September 13, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 13, 2022

Registered at 1 CHILDRENS PL, SAINT LOUIS, MO 631101081 (Tel: 3144546000)

πŸ“
Business Mailing Address (Initial Record) September 13, 2022

Registered at 2508 N SKYLINE DR, URBANA, IL 618027482

πŸ‘€
Provider Name / Credentials (Initial Record) September 13, 2022

Recorded as ALYSSA WICHMANN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2022

Nurse Practitioner (license number reported to NPPES: MO 2022034477)

🟒
Initial NPI Registration & Enumeration September 13, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1891417283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2022
Last Update: May 18, 2025
Sole Proprietor: No

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175458000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.