MS. ALISSA LEIGH STRUBLE (FNP) – Nurse Practitioner, NPI 1164105490

MS. ALISSA LEIGH STRUBLE (FNP) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2024035390 (MO). The NPI Number for MS. ALISSA LEIGH STRUBLE (FNP) is 1164105490

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. ALISSA LEIGH STRUBLE (FNP)
NPI
1164105490
Phone
(314) 362-9123
Address
PO BOX 7412011
Enumeration Date
11 August 2023
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182719191
Graduation Year
2012 (14 years ago)
PAC ID
9032657945
Group Practice PAC ID
1456256874
Professional Enrollment ID
I20250123002404
Address ID
IL622051803EA2001XSTXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness95
Years active:2State licenses:1Other names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MS. ALISSA LEIGH STRUBLE (FNP)

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-9123

    Fax: (314) 747-9160

    Type: Mailing

  • 1225 GRAHAM RD

    DEPT EMERGENCY MEDICINE

    FLORISSANT, MO 630318012

    Phone: (314) 362-9123

    Fax: (314) 747-9160

    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: 2025-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240809002343INurse PractitionerILTBD
I20250123002404INurse PractitionerMOTBD

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 60674)

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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: 1456256874View full group profile
NameSpecialtyState
-IL
-IL
Family PracticeID
Mental Health CounselorIL
-IL
Family PracticeIL
Nurse PractitionerIL
-IL
Nephrology, Internal MedicineMO
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Can I use this page to confirm MS. ALISSA LEIGH STRUBLE (FNP)'s NPI?
Yes. MS. ALISSA LEIGH STRUBLE (FNP) is listed with NPI 1164105490 in the public NPI dataset.
Can I rely on MS. ALISSA LEIGH STRUBLE (FNP) being an active provider?
As of the registry snapshot, MS. ALISSA LEIGH STRUBLE (FNP) is marked active.
What is MS. ALISSA LEIGH STRUBLE (FNP)'s primary classification?
Nurse Practitioner is the headline specialty for MS. ALISSA LEIGH STRUBLE (FNP) here. Clinical services aligned with this taxonomy classification.
Where is MS. ALISSA LEIGH STRUBLE (FNP) based?
MS. ALISSA LEIGH STRUBLE (FNP) is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about MS. ALISSA LEIGH STRUBLE (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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