ALYSSA LYNN JOSEPHSON MD
NPI 1255910683
Pediatrics in New Berlin, WI

Q: What is Alyssa Josephson's NPI number?

The NPI number for Alyssa Josephson is 1255910683. It was assigned to this individual provider in the NPPES registry on April 4, 2021. The provider is also known as Alyssa Lynn Tidemann.

Q: What is Alyssa Josephson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Josephson was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 04, 2021PECOS Enrolled

4855 S MOORLAND RD, NEW BERLIN, WI 53151(262) 432-7599(262) 432-7694 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2023, Apr 4, 2021 (2 updates tracked since 2021).

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About Alyssa Lynn Josephson Md NPPES

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

ALYSSA LYNN JOSEPHSON MD (NPI 1255910683) is an individual pediatrics provider in New Berlin, Wisconsin, licensed in Wisconsin (7772220) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255910683

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameALYSSA LYNN JOSEPHSONCredential: MD

Location Address4855 S MOORLAND RDNew Berlin, WI 53151-7494

Mailing Address8701 W Watertown Plank RdMilwaukee, WI 53226-3548

Phone(262) 432-7599

Fax(262) 432-7694

Sole ProprietorNo

Enumeration DateApril 4, 2021

Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration

NPPES CertifiedMarch 15, 2024

✔ NPI 1255910683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 7772220

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4855 S MOORLAND RD, New Berlin, WI 53151

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Other Names 1

Former Name (1)Alyssa Lynn Tidemann

Other Identifiers 1

Medicaid1255910683WI

Accepted Insurance

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

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 Lynn Josephson Md 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 53151 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.

HANNAH MAZUR

Nurse Practitioner (Family)

4855 S MOORLAND RD
NEW BERLIN, WI 53151

Waukesha County (262) 432-7599

MS. JULIE ANN AVERBECK NP

Nurse Practitioner (Pediatrics)

4855 S MOORLAND RD, SUITE 150
NEW BERLIN, WI 53151

Waukesha County (414) 425-5660

SADIA T ANSARI MD

Pediatrics

4855 S MOORLAND RD
NEW BERLIN, WI 53151

Waukesha County (262) 432-7599

DR. OLUBUNMI ABIOLA OLORUNDAMI M.D.

Pediatrics

4855 S MOORLAND RD, URGENT CARE CLINIC - 3RD FLOOR
NEW BERLIN, WI 53151

Waukesha County (262) 432-7599

MRS. AMANDA M KOTOWSKI NP

Nurse Practitioner

4855 S MOORLAND RD, 3RD FLOOR
NEW BERLIN, WI 53151

Waukesha County (262) 432-7599

MRS. MARINETA L SAUNDERSON APN

Nurse Practitioner (Family)

4855 S MOORLAND RD
NEW BERLIN, WI 53151

Waukesha County (262) 432-7599

CHRIS M ZUKOWSKI M.D.

Pediatrics

4855 S MOORLAND RD, SUITE 150
NEW BERLIN, WI 53151

Waukesha County (414) 425-5660

TONY M CHUANG MD

Pediatrics

4855 S MOORLAND RD
NEW BERLIN, WI 53151

Waukesha County (262) 432-7599

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 Josephson's NPI number?

The NPI number for Alyssa Josephson is 1255910683. It was assigned to this individual provider in the NPPES registry on April 4, 2021. The provider is also known as Alyssa Lynn Tidemann.

Where is Alyssa Josephson located?

Alyssa Josephson practices at 4855 S Moorland Rd, New Berlin, WI 53151. The listed phone number is (262) 432-7599.

What is Alyssa Josephson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alyssa Josephson enrolled in Medicare?

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

What insurance does Alyssa Josephson accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Alyssa Josephson 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 Josephson was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.