ALISSA ANASTASIO DO
NPI 1063104834
Student in an Organized Health Care Education/Training Program in Canton, MI

Q: What is Alissa Anastasio's NPI number?

The NPI number for Alissa Anastasio is 1063104834. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Q: What is Alissa Anastasio's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alissa Anastasio was last updated on February 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 22, 2023PECOS Enrolled

1051 N CANTON CENTER RD, CANTON, MI 48187(734) 844-5400 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2026, May 22, 2023 (2 updates tracked since 2023).

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About Alissa Anastasio Do NPPES

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

ALISSA ANASTASIO DO (NPI 1063104834) is an individual student in an organized health care education/training program in Canton, Michigan, licensed in Michigan (5151016065) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063104834

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALISSA ANASTASIOCredential: DO

Location Address1051 N CANTON CENTER RDCanton, MI 48187-5097

Mailing Address1522 Simpson Rd East, Mpb D3230Ann Arbor, MI 48109 · (734) 647-1774

Phone(734) 844-5400

Sole ProprietorNo

Enumeration DateMay 22, 2023

Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1063104834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 5151016065

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.

1051 N CANTON CENTER RD, Canton, MI 48187

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alissa Anastasio Do 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.

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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.

GENEVIEVE ALLEN MD

Student in an Organized Health Care Education/Training Program