ALISHA FRANCES FAHLEY MD
NPI 1255691515
Family Medicine in Shawano, WI

Q: What is Alisha Fahley's NPI number?

The NPI number for Alisha Fahley is 1255691515. It was assigned to this individual provider in the NPPES registry on May 21, 2012.

Q: What is Alisha Fahley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alisha Fahley was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 21, 2012PECOS EnrolledAccepts Medicare Assignment

100 COUNTY ROAD B, SHAWANO, WI 54166(715) 524-2161(715) 524-8164 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Alisha Frances Fahley Md NPPES

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

ALISHA FRANCES FAHLEY MD (NPI 1255691515) is an individual family medicine provider in Shawano, Wisconsin, licensed in Minnesota (56539) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of University Of Wisconsin School Of Medicine (2012).

NPPES Registry Identity

NPI1255691515

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameALISHA FRANCES FAHLEYCredential: MD

Location Address100 COUNTY ROAD BShawano, WI 54166-7072

Mailing AddressPo Box 8003Appleton, WI 54912-8003 · (920) 830-5900 · Fax (920) 738-5787

Phone(715) 524-2161

Fax(715) 524-8164

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2012

Enumeration DateMay 21, 2012

Last NPPES UpdateSeptember 1, 2015

✔ NPI 1255691515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 56539

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.

100 COUNTY ROAD B, Shawano, WI 54166

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Other Identifiers 5

Other1255691515MN · Bcbs

Medicare PIN080024048MN

Other0001-0104860Medica

OtherP01224932Rr Medicare

Medicaid1255691515MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Alisha Frances Fahley Md 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 ID9537301601

PECOS Enrollment IDI20150902003094

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 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521346

Location100 County Rd BShawano, WI 54166 · Shawano County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54166 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers20 claims40 services$5.41 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers20 claims20 services$8.85 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers17 claims17 services$195.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SHOPKO STORES OPERATING CO., LLC

Pharmacy (Community/Retail Pharmacy)