ALYSSA DIANE POLK DO
NPI 1174152102
Family Medicine in Onalaska, WI
About Alyssa Diane Polk Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA DIANE POLK DO (NPI 1174152102) is an individual family medicine provider in Onalaska, Wisconsin, licensed in Wisconsin (76237) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Reedsburg Area Medical Center, and maintains a secondary practice location in La Crosse.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alyssa Diane Polk Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Alyssa Polk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Valle, WI 53941
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1457780983 (Wisconsin)
- 106 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reedsburg Area Medical Center
Critical Access Hospitals · Reedsburg, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Polk's NPI number?
The NPI number for Alyssa Polk is 1174152102. It was assigned to this individual provider in the NPPES registry on April 2, 2020. The provider is also known as Alyssa Diane Kennedy Do.
Where is Alyssa Polk located?
Alyssa Polk practices at 191 Theater Rd, Onalaska, WI 54650. The listed phone number is (608) 785-0940.
What is Alyssa Polk's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alyssa Polk enrolled in Medicare?
Yes. Alyssa Polk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Alyssa Polk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Polk reassigns Medicare benefits to Reedsburg Area Medical Center Inc (La Valle, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alyssa Polk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alyssa Polk accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan and Quartz list Alyssa Polk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Alyssa Polk affiliated with any hospitals?
According to CMS data, Alyssa Polk is affiliated with Reedsburg Area Medical Center.
When was this NPI record last updated?
The NPPES record for Alyssa Polk was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Alyssa Diane Polk, DO · NPI 1174152102
Family Medicine physician in Onalaska, Wisconsin. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1174152102 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 76237 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 191 THEATER RD, Onalaska, WI 54650-8679
- **Phone:** (608) 785-0940
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Reedsburg Area Medical Center Inc (NPI 1437049566, La Valle, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2020
## Record status
- **NPPES last updated:** September 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174152102) · Data from the CMS NPPES public registry.