ALYSSA M DEVILEY (PA-C) – Physician Assistant, NPI 1699232132

ALYSSA M DEVILEY (PA-C) is a healthcare provider. based in Green bay, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5146 (WI). The NPI Number for ALYSSA M DEVILEY (PA-C) is 1699232132

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA M DEVILEY (PA-C)
NPI
1699232132
Phone
(920) 660-0231
Address
3494 Edinburgh Rd
Enumeration Date
20 February 2019
Last Update Date
10 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087758200
Graduation Year
2020 (6 years ago)
PAC ID
3072938620
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20200730001245
Address ID
WI546015429LA2575XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for ALYSSA M DEVILEY (PA-C)

  • 3494 Edinburgh Rd

    Green Bay, WI 543117284

    Phone: (920) 660-0231

    Type: Location

  • Kelly Way, Hortonville, Outagamie County, Wisconsin, 54944, United States

    HORTONVILLE, WI 549448736

    Phone: (920) 660-0231

    Type: Mailing

  • 1405 Mill St

    New London, WI 549612155

    Phone: (920) 531-2400

    Type: Location

  • ThedaCare Medical Center-New London, 1405, Mill Street, New London, Town of Hortonia, Outagamie County, Wisconsin, 54961, United States

    NEW LONDON, WI 549612155

    Phone: (920) 531-2400

    Type: Location

  • 1836 SOUTH AVE

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $252.

Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($127).

Total Amount

$252

General + Research + Ownership

Payments

2

Total payment records

General Amount

$252

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2020-07-30

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
I20200730001245IPhysician AssistantWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7563$0
99215Established patient office or other outpatient visit, 40-54 minutes5846$0
38222Biopsy and aspiration of bone marrow sample for diagnosis5047$0
99205New patient office or other outpatient visit, 60-74 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 54311)

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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: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Physician AssistantWI
-WI
-WI
Family PracticeWI
Nurse PractitionerWI
-IL
-WI
Gastroenterology, Internal MedicineWI

Reviews

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Frequently asked questions

What is the standard ID for ALYSSA M DEVILEY (PA-C) in the U.S.?
In the U.S., ALYSSA M DEVILEY (PA-C) is identified by NPI 1699232132.
Does the public listing show ALYSSA M DEVILEY (PA-C) as active?
ALYSSA M DEVILEY (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does ALYSSA M DEVILEY (PA-C) provide?
ALYSSA M DEVILEY (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to ALYSSA M DEVILEY (PA-C)?
ALYSSA M DEVILEY (PA-C) shows a connection to Green Bay, Wisconsin in registry-derived data.
Who maintains ALYSSA M DEVILEY (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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