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ALYSSA ISABEL FALLON
NPI 1104617992
Nurse Practitioner - Family in Draper, UT

Active since May 13, 2025PECOS Enrolled
248 E 13800 S STE 3, DRAPER, UT 84020(801) 987-8384 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2025, May 13, 2025 (2 updates tracked since 2025).

About Alyssa Isabel Fallon NPPES

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

ALYSSA ISABEL FALLON (NPI 1104617992) is an individual family provider in Draper, Utah, licensed in Utah (133051654405) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104617992
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYSSA ISABEL FALLON
Location Address248 E 13800 S STE 3Draper, UT 84020-5011
Mailing Address826 E 1080 NLehi, UT 84043-1356 · (760) 585-8659
Phone(801) 987-8384
Sole ProprietorNo
Enumeration DateMay 13, 2025
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1104617992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 133051654405
248 E 13800 S STE 3, Draper, UT 84020
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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)

Alyssa Isabel Fallon 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 84020 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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 Fallon's NPI number?

The NPI number for Alyssa Fallon is 1104617992. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Alyssa Fallon located?

Alyssa Fallon practices at 248 E 13800 S Ste 3, Draper, UT 84020. The listed phone number is (801) 987-8384.

What is Alyssa Fallon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alyssa Fallon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alyssa Fallon was last updated on August 11, 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.