MRS. ALYSE POLL (NP-C) – Nurse Practitioner, NPI 1598135089
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
Provider Addresses for MRS. ALYSE POLL (NP-C)
PO BOX 879041
WASILLA, AK 996879041
Phone: (907) 521-3560
Type: Mailing
1700 E BOGARD RD # 2
WASILLA, AK 996546563
Phone: (907) 521-3560
Type: Location
632 Broadway Ph
New York, NY 100122614
Phone: (800) 731-4254
Type: Location
217 ELK AVE STE 2222
CRESTED BUTTE, CO 812249608
Phone: (866) 849-0692
Type: Location
PO BOX 211699
EAGAN, MN 551213699
Phone: (866) 849-0692
Type: Mailing
PO BOX 2270
GLENWOOD SPRINGS, CO 816022270
Phone: (970) 384-7033
Fax: (970) 945-5460
Type: Mailing
978 EUCLID AVE
CARBONDALE, CO 816231820
Phone: (970) 963-3350
Fax: (970) 963-1082
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151211000192 | I | Nurse Practitioner | CO | TBD |
| I20161013001957 | I | Nurse Practitioner | AK | TBD |
| I20230329001059 | I | Nurse Practitioner | AZ | TBD |
| I20230404002624 | I | Nurse Practitioner | TX | TBD |
| I20230406002220 | I | Nurse Practitioner | FL | TBD |
| I20230829003052 | I | Nurse Practitioner | OR | TBD |
| I20230920001514 | I | Nurse Practitioner | OH | TBD |
| I20231220001621 | I | Nurse Practitioner | HI | TBD |
| I20240516001030 | I | Nurse Practitioner | TN | TBD |
| I20260224000952 | I | Nurse Practitioner | VA | TBD |
| I20260225000628 | I | Nurse Practitioner | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99687)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Geriatric Medicine | HI | |
| Nurse Practitioner | HI | |
| Nurse Practitioner | MI | |
| Family Practice | MT | |
| Clinical Psychologist | HI | |
| Clinical Social Worker | HI | |
| Nurse Practitioner | HI | |
| Family Practice | TX | |
| Nurse Practitioner | HI | |
| Nurse Practitioner | HI |
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