ALYSSA ANN SUNDSTROM CPNP
NPI 1083098107
Nurse Practitioner - Pediatrics in Worcester, MA

Q: What is Alyssa Sundstrom's NPI number?

The NPI number for Alyssa Sundstrom is 1083098107. It was assigned to this individual provider in the NPPES registry on July 18, 2015. The provider is also known as Alyssa A. Guertin.

Q: What is Alyssa Sundstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Sundstrom was last updated on July 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 July 18, 2015PECOS Enrolled

630 PLANTATION ST, WOT 12TH FL, WORCESTER, MA 01605(508) 852-8570(508) 852-1022 Get Directions Write a Review

NPPES record last updated: July 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alyssa Ann Sundstrom Cpnp NPPES

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

ALYSSA ANN SUNDSTROM CPNP (NPI 1083098107) is an individual pediatrics provider in Worcester, Massachusetts, licensed in Massachusetts (RN269516) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083098107

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameALYSSA ANN SUNDSTROMCredential: CPNP

Location Address630 PLANTATION ST, WOT 12TH FLWorcester, MA 01605-2038

Mailing Address630 Plantation St, Wot 12th FlWorcester, MA 01605-2038 · (508) 368-5532 · Fax (508) 852-1022

Phone(508) 852-8570

Fax(508) 852-1022

Sole ProprietorNo

Enumeration DateJuly 18, 2015

✔ NPI 1083098107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MA · RN269516

630 PLANTATION ST, Worcester, MA 01605

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Other Names 1

Former Name (1)Alyssa A. Guertin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Ann Sundstrom Cpnp 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 01605 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

Most-billed visit code 99214

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.

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