ALYSSA RUWE MARTZ – Family Nurse Practitioner, NPI 1043757867

ALYSSA RUWE MARTZ is a healthcare provider. based in Maryville, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209015399 (IL). The NPI Number for ALYSSA RUWE MARTZ is 1043757867

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA RUWE MARTZ
NPI
1043757867
Phone
(618) 288-9460
Address
6812 STATE ROUTE 162
Enumeration Date
31 January 2017
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182889460
Graduation Year
2016 (10 years ago)
PAC ID
5597040121
Group Practice PAC ID
5193792018
Professional Enrollment ID
I20170322002764
Address ID
IL620628586MA6812X162X403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for ALYSSA RUWE MARTZ

  • 6812, State Route 162, Maryville, Madison County, Illinois, 62062, United States

    SUITE 123

    MARYVILLE, IL 620628553

    Phone: (618) 288-9460

    Fax: (618) 288-9461

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Organogenesis Inc. ($16).

Total Amount

$44

General + Research + Ownership

Payments

3

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-03-22

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
I20170322002764INurse PractitionerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
20610Aspiration and/or injection of fluid from large joint21391$0
99213Established patient office or other outpatient visit, 20-29 minutes173107$0
J1040Injection, methylprednisolone acetate, 80 mg16677$0
73564X-ray of knee, 4 or more views3836$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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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: 5193792018View full group profile
NameSpecialtyState
-IL
General SurgeryIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
General SurgeryIL
-IL
Family PracticeMO
Family PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the registry number for ALYSSA RUWE MARTZ?
The registry entry for ALYSSA RUWE MARTZ shows NPI 1043757867.
Is ALYSSA RUWE MARTZ currently accepting referrals based on NPI status?
Registry metadata lists ALYSSA RUWE MARTZ as active.
What does the directory say ALYSSA RUWE MARTZ does?
Insurance directories may phrase it differently, but here ALYSSA RUWE MARTZ maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit ALYSSA RUWE MARTZ in Maryville, Illinois?
For routing, start with Maryville, Illinois for ALYSSA RUWE MARTZ, then verify phone and hours locally.
Can I export ALYSSA RUWE MARTZ's record?
You can download the official NPPES record; we summarize key fields for readability.

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