ALYSSA DIANE POLK DO
NPI 1174152102
Family Medicine in Onalaska, WI

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
191 THEATER RD, ONALASKA, WI 54650(608) 785-0940 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, Sep 16, 2022, Sep 16, 2020 and 2 more (5 updates tracked since 2020).

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

NPI1174152102
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALYSSA DIANE POLKCredential: DO
Location Address191 THEATER RDOnalaska, WI 54650-8679
Mailing Address200 1st St SwRochester, MN 55905-0001 · (715) 838-5222
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateSeptember 29, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
NPI 1174152102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 76237
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
191 THEATER RD, Onalaska, WI 54650

Other Names 1

Former Name (1)Alyssa Diane Kennedy Do

Secondary Practice Location 1

Location 1700 West Ave SLA Crosse, WI 54601-4783 · Phone (815) 355-0016

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3779905542
PECOS Enrollment IDI20220420000915
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.

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, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521351
Location2000 N Dewey AveReedsburg, WI 53959 · Sauk County
Emergency services

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Physical Therapist
191 THEATER RD
ONALASKA, WI 54650
Otolaryngology
191 THEATER RD
ONALASKA, WI 54650
Pediatrics
191 THEATER RD
ONALASKA, WI 54650
Optometrist
191 THEATER RD
ONALASKA, WI 54650
Nurse Practitioner
191 THEATER RD
ONALASKA, WI 54650
Family Medicine
191 THEATER RD
ONALASKA, WI 54650
Family Medicine
191 THEATER RD
ONALASKA, WI 54650
Nurse Practitioner
191 THEATER RD
ONALASKA, WI 54650

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.

What insurance does Alyssa Polk accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus 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 3 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.