ALYSSA ZIELKE P.A.
NPI 1003229964
Physician Assistant in Mukwonago, WI

Q: What is Alyssa Zielke's NPI number?

The NPI number for Alyssa Zielke is 1003229964. It was assigned to this individual provider in the NPPES registry on June 9, 2014. The provider is also known as Alyssa Gross P.A..

Q: What is Alyssa Zielke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Zielke was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2014PECOS Enrolled

240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC, MUKWONAGO, WI 53149(262) 928-1900 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alyssa Zielke P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA ZIELKE P.A. (NPI 1003229964) is an individual physician assistant in Mukwonago, Wisconsin, licensed in Wisconsin (3336-23) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003229964

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALYSSA ZIELKECredential: P.A.

Location Address240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INCMukwonago, WI 53149-8475

Mailing Address240 Maple Ave, Prohealth Care Medical Associates IncMukwonago, WI 53149-8475 · (262) 928-1900

Phone(262) 928-1900

Sole ProprietorNo

Enumeration DateJune 9, 2014

Last NPPES UpdateApril 25, 2016

✔ NPI 1003229964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 3336-23

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

240 MAPLE AVE, Mukwonago, WI 53149

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Other Names 1

Former Name (1)Alyssa Gross P.a.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Zielke P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53149 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE RADAJ MSN, APNP, FNP-C

Nurse Practitioner (Family)