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ALYSSA TOUGH MSN, RN, CPNP
NPI 1194142331
Nurse Practitioner - Pediatrics in Round Rock, TX

Active since March 26, 2014PECOS Enrolled
7200 WYOMING SPGS, SUITE 200, ROUND ROCK, TX 78681(512) 244-5959(512) 244-1156 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alyssa Tough Msn, Rn, Cpnp NPPES

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

ALYSSA TOUGH MSN, RN, CPNP (NPI 1194142331) is an individual pediatrics provider in Round Rock, Texas, licensed in Texas (717717) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194142331
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameALYSSA TOUGHCredential: MSN, RN, CPNP
Location Address7200 WYOMING SPGS, SUITE 200Round Rock, TX 78681-4303
Mailing Address7200 Wyoming Spgs, Suite 200Round Rock, TX 78681-4303 · (512) 244-5959 · Fax (512) 244-1156
Phone(512) 244-5959
Fax(512) 244-1156
Sole ProprietorNo
Enumeration DateMarch 26, 2014
✔ NPI 1194142331 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 TX · 717717
7200 WYOMING SPGS, Round Rock, TX 78681
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Tough Msn, Rn, 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.

Medicare Billing Reassignment

Medicare enrollment records show Alyssa Tough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dell Children's Medical Group
2.5 mi
Pediatrics
1000 HESTERS CROSSING RD
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group
NPI 1790103869 (512) 628-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78681 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

ELIZABETH D BISHOP PA-C
Physician Assistant (Medical)
7200 WYOMING SPGS, STE 300
ROUND ROCK, TX 78681
Williamson County (512) 244-2273
NICHOLE M SMITH PA-C
Physician Assistant
7200 WYOMING SPGS, SUITE 600
ROUND ROCK, TX 78681
Williamson County (512) 244-1995
TREVOR TURNER M.D.
Internal Medicine
7200 WYOMING SPGS, SUITE #1500
ROUND ROCK, TX 78681
Williamson County (512) 218-8696
RODNEY DUANE LEWIS MD
Surgery
7200 WYOMING SPGS, STE 500
ROUND ROCK, TX 78681
Williamson County (512) 244-0111
DR. ALLISON ADELE LACALLE AU.D.
Audiologist
7200 WYOMING SPGS
ROUND ROCK, TX 78681
Williamson County (512) 388-2217
DR. STEVEN DANIEL D.O.
Family Medicine
7200 WYOMING SPGS, #600
ROUND ROCK, TX 78681
Williamson County (512) 244-1995
MRS. ADRIANE A O'HARA PT
Physical Therapist
7200 WYOMING SPGS, STE 400
ROUND ROCK, TX 78681
Williamson County (512) 310-7246
DR. CHRISTOPHER G PUTNEY M.D.
Family Medicine
7200 WYOMING SPGS, STE 600
ROUND ROCK, TX 78681
Williamson County (512) 244-1995

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 Tough's NPI number?

The NPI number for Alyssa Tough is 1194142331. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Alyssa Tough located?

Alyssa Tough practices at 7200 Wyoming Spgs Suite 200, Round Rock, TX 78681. The listed phone number is (512) 244-5959.

What is Alyssa Tough's specialty?

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

Is Alyssa Tough enrolled in Medicare?

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

Which organization bills Medicare for Alyssa Tough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Tough reassigns Medicare benefits to Dell Children's Medical Group (Round Rock, TX). 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 Tough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyssa Tough accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Alyssa Tough 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.

When was this NPI record last updated?

The NPPES record for Alyssa Tough was last updated on March 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.