ALYSSA LYNAE DOCTOR AGACNP
NPI 1346094059
Nurse Practitioner - Adult Health in Newark, DE

Q: What is Alyssa Doctor's NPI number?

The NPI number for Alyssa Doctor is 1346094059. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Q: What is Alyssa Doctor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Doctor was last updated on July 10, 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 17, 2024PECOS EnrolledAccepts Medicare Assignment

4755 OGLETOWN STANTON RD STE 1070, NEWARK, DE 19718(302) 733-1663(302) 733-4533 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2024, Apr 17, 2024 (2 updates tracked since 2024).

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About Alyssa Lynae Doctor Agacnp NPPES

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

ALYSSA LYNAE DOCTOR AGACNP (NPI 1346094059) is an individual adult health provider in Newark, Delaware, licensed in Delaware (LP-0010763) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346094059

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameALYSSA LYNAE DOCTORCredential: AGACNP

Location Address4755 OGLETOWN STANTON RD STE 1070Newark, DE 19718-2200

Mailing Address252 Chapman Rd Ste 150Newark, DE 19702-5438 · (302) 623-1929

Phone(302) 733-1663

Fax(302) 733-4533

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 17, 2024

Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1346094059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in DE · LP-0010763✔ Licensed in PA · SP028646

Also ListedRegistered NurseTaxonomy 163W00000X · License RN664684 (PA), L1-0073642 (DE)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License LP-0010763 (DE)

4755 OGLETOWN STANTON RD STE 1070, Newark, DE 19718

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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 Lynae Doctor Agacnp 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 ID5698210037

PECOS Enrollment IDI20251217002292

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 19718 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$100.68 typical visit price

range $18.36 – $141.05

Typical copayment $25.17 (range $4.59 – $35.26)

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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN MENG M.D.

Internal Medicine (Cardiovascular Disease)