ALYSSA C PUTTKAMMER PA
NPI 1477016574
Physician Assistant in Murray, UT

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
5169 S COTTONWOOD ST STE 410, MURRAY, UT 84107(801) 507-1600 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 29, 2022, Nov 21, 2022, Nov 12, 2020 and 1 more (4 updates tracked since 2019).

About Alyssa C Puttkammer Pa NPPES

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

ALYSSA C PUTTKAMMER PA (NPI 1477016574) is an individual physician assistant in Murray, Utah, licensed in Utah (12830622-1206) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1477016574
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA C PUTTKAMMERCredential: PA
Location Address5169 S COTTONWOOD ST STE 410Murray, UT 84107-6769
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (018) 507-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 8, 2019
Last NPPES UpdateNovember 29, 20224 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
NPI 1477016574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in UT · 12830622-1206 Licensed in WI · 4636-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5169 S COTTONWOOD ST STE 410, Murray, UT 84107

Secondary Practice Location 1

Location 1700 S Park StMadison, WI 53715-1830 · Phone (608) 260-2900

Other Identifiers 1

Medicaid1477016574WI

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 C Puttkammer Pa 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 ID2264774058
PECOS Enrollment IDI20230216001278
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 5

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

Surgery
5169 S COTTONWOOD ST STE 410
MURRAY, UT 84107
Surgery
5169 S COTTONWOOD ST STE 410
SALT LAKE CITY, UT 84107
Physician Assistant
5169 S COTTONWOOD ST STE 410
MURRAY, UT 84107
Surgery (Surgical Oncology)
5169 S COTTONWOOD ST STE 410
SALT LAKE CITY, UT 84107
Surgery
5169 S COTTONWOOD ST STE 410
MURRAY, UT 84107

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 Puttkammer's NPI number?

The NPI number for Alyssa Puttkammer is 1477016574. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Alyssa Puttkammer located?

Alyssa Puttkammer practices at 5169 S Cottonwood St Ste 410, Murray, UT 84107. The listed phone number is (801) 507-1600.

What is Alyssa Puttkammer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alyssa Puttkammer enrolled in Medicare?

Yes. Alyssa Puttkammer 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 Puttkammer accept?

Health plans from Select Health list Alyssa Puttkammer 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 Puttkammer affiliated with any hospitals?

According to CMS data, Alyssa Puttkammer is affiliated with Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Alyssa Puttkammer was last updated on November 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.