ALYSSA LUPTAK – Family Nurse Practitioner, NPI 1801450903

Family Nurse Practitioner

ALYSSA LUPTAK is a healthcare provider. based in Palatine, Illinois. specializing in Family Nurse Practitioner. They hold a License No. 209.019335 (IL). The NPI Number for ALYSSA LUPTAK is 1801450903

Main info

Female

7 Years Of Experience

Accepts Medicare Assignment

Name

ALYSSA LUPTAK

NPI

1801450903

Phone

(224) 210-9918

Address

161 N BABCOCK DR

Enumeration Date

24 April 2019

Last Update Date

9 February 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8475197046

Graduation Year

2019 (7 years ago)

PAC ID

6002240405

Group Practice PAC ID

9133216179

Professional Enrollment ID

I20191217002873

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience38

Completeness85

Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for ALYSSA LUPTAK

161, North Babcock Drive, Winston Park, Palatine, Palatine Township, Cook County, Illinois, 60074, United States
PALATINE, IL 600745561
Phone: (224) 210-9918
Type: Mailing
161 N BABCOCK DR APT SUITE
PALATINE, IL 600745561
Phone: (224) 210-9918
Type: Location
26525 N Riverwoods Blvd
Mettawa, IL 600453440
Phone: (847) 938-9640
Fax: (847) 938-9654
Type: Location
686 WILLIAMS WAY
VERNON HILLS, IL 600613252
Phone: (224) 210-9918
Type: Mailing
1 N WAUKEGAN RD
NORTH CHICAGO, IL 600641802
Phone: (847) 936-5800
Fax: (847) 936-5824
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: 2019-12-17

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

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
I20191217002873	I	Nurse Practitioner	IL	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.

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 60074)

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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: 9133216179View full group profile

Name	Specialty	State
IRMA M MELGAR	Nurse Practitioner	IL
MR. ROY BIANCA THEODORA JANSSEN (PT)	Physical Therapist In Private Practice	IL
DR. NAVEED ELAHI (D.C.)	C H I R O P R A C T I C	IL