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ALYSSA FOWLER MD
NPI 1013736552
Student in an Organized Health Care Education/Training Program in Wright Patterson Afb, OH

Active since October 09, 2024PECOS Enrolled
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 257-9612 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2025, Oct 9, 2024 (2 updates tracked since 2024).

About Alyssa Fowler Md NPPES

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

ALYSSA FOWLER MD (NPI 1013736552) is an individual student in an organized health care education/training program in Wright Patterson Afb, Ohio and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fairborn.

NPPES Registry Identity

NPI1013736552
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALYSSA FOWLERCredential: MD
Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529
Mailing Address4881 Sugar Maple DrWright Patterson Afb, OH 45433-5529
Phone(937) 257-9612
Sole ProprietorNo
Enumeration DateOctober 9, 2024
Last NPPES UpdateMay 23, 20252 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1013736552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedBehavior TechnicianTaxonomy 106S00000X
4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433
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Secondary Practice Location 1

Location 12555 University DrFairborn, OH 45324-6255 · Phone (937) 775-7792

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 Fowler Md 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.

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.

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Fowler's NPI number?

The NPI number for Alyssa Fowler is 1013736552. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Alyssa Fowler located?

Alyssa Fowler practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-9612.

What is Alyssa Fowler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alyssa Fowler enrolled in Medicare?

Yes. Alyssa Fowler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Fowler was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.