ALYSSA WALDE NP
NPI 1649087065
Nurse Practitioner - Family in Broomfield, CO

Q: What is Alyssa Walde's NPI number?

The NPI number for Alyssa Walde is 1649087065. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Q: What is Alyssa Walde's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Walde was last updated on January 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 18, 2024PECOS EnrolledAccepts Medicare Assignment

12167 SHERIDAN BLVD, BROOMFIELD, CO 80020(720) 369-4257 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2025, Jan 5, 2025, Dec 18, 2024 (3 updates tracked since 2024).

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About Alyssa Walde Np NPPES

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

ALYSSA WALDE NP (NPI 1649087065) is an individual family provider in Broomfield, Colorado, licensed in Colorado (APN.1000242-NP) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649087065

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALYSSA WALDECredential: NP

Location Address12167 SHERIDAN BLVDBroomfield, CO 80020-2417

Mailing AddressPo Box 932958Cleveland, OH 44193-0028

Phone(720) 369-4257

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 18, 2024

Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1649087065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CO · APN.1000242-NP

12167 SHERIDAN BLVD, Broomfield, CO 80020

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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 Walde Np 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 ID3870021033

PECOS Enrollment IDI20250115003179

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 80020 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 12

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

MS. ANH TUYET THI NGUYEN RPH

Pharmacist