ALISSA GREGERSEN (AG-ACNP) – Nurse Practitioner, NPI 1922508902

ALISSA GREGERSEN (AG-ACNP) is a healthcare provider. based in Dover, Delaware. specializing in NURSE PRACTITIONER. They hold the professional credentials AG-ACNP. They hold a License No. LP-0000239 (DE). The NPI Number for ALISSA GREGERSEN (AG-ACNP) is 1922508902

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA GREGERSEN (AG-ACNP)
NPI
1922508902
Phone
(302) 480-1688
Address
640 S STATE ST
Enumeration Date
16 February 2018
Last Update Date
18 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3027447156
Graduation Year
2017 (9 years ago)
PAC ID
5092079863
Group Practice PAC ID
1658364740
Professional Enrollment ID
I20180502000636
Address ID
DE199013530DO640XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,273 NURSE PRACTITIONER in DE

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Provider Addresses for ALISSA GREGERSEN (AG-ACNP)

  • Bayhealth Kent General, 640, South State Street, Morris Estates, Dover, Kent County, Delaware, 19901, United States

    MAIL CODE 3055

    DOVER, DE 199013530

    Phone: (302) 480-1688

    Fax: (302) 480-9807

    Mailing address matches the actual address.

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: 2018-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180502000636INurse PractitionerDETBD

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.

Verify on CMS Revalidation Lookup Tool

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 19901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658364740View full group profile
NameSpecialtyState
Nurse PractitionerMD
H E M A T O L O G Y/ O N C O L O G YDE
Internal Medicine, Infectious DiseaseDE
-DE
Certified Nurse Midwife (Cnm)DE
O B S T E T R I C S/ G Y N E C O L O G YDE
Medical OncologyDE
Physician AssistantDE
Certified Nurse Midwife (Cnm)DE
Internal MedicineNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for ALISSA GREGERSEN (AG-ACNP)?
ALISSA GREGERSEN (AG-ACNP) — NPI 1922508902 — is the standard way to identify this listing.
Is ALISSA GREGERSEN (AG-ACNP) still practicing?
ALISSA GREGERSEN (AG-ACNP) is currently listed as active in the public NPI registry.
What healthcare role does ALISSA GREGERSEN (AG-ACNP) hold?
Scheduling teams often label ALISSA GREGERSEN (AG-ACNP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ALISSA GREGERSEN (AG-ACNP) list a practice location?
Patients near Dover, Delaware may find ALISSA GREGERSEN (AG-ACNP) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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