ALYSSA FAYTH DOROTHY NP
NPI 1689147985
Nurse Practitioner - Adult Health in Jacksonville, FL

Q: What is Alyssa Dorothy's NPI number?

The NPI number for Alyssa Dorothy is 1689147985. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Q: What is Alyssa Dorothy'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 Dorothy was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 January 09, 2019PECOS EnrolledAccepts Medicare Assignment

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-0411 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, May 14, 2025, Nov 24, 2024 and 7 more (10 updates tracked since 2019).

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About Alyssa Fayth Dorothy Np NPPES

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

ALYSSA FAYTH DOROTHY NP (NPI 1689147985) is an individual adult health provider in Jacksonville, Florida, licensed in Florida (APRN11001337) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Healthalliance Hospital Marys Avenue Campus, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1689147985

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameALYSSA FAYTH DOROTHYCredential: NP

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008

Phone(904) 244-0411

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 9, 2019

Last NPPES UpdateApril 16, 202610 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1689147985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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

Taxonomy Code363LA2200X

Licenses✔ Licensed in FL · APRN11001337✔ Licensed in VA · 0024180191✔ Licensed in IN · 71017964A

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN9358856 (FL)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024180191 (VA), APRN11001337 (FL)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 0024180191 (VA), 11001337 (FL), APRN11001337 (FL)

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 0024180191 (VA), APRN11001337 (FL)

655 W 8TH ST, Jacksonville, FL 32209

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1601 E Rollins StOrlando, FL 32803-1248 · Phone (407) 303-7283

Location 21350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-1771

Location 3400 Sentara Cir Ste 201AWilliamsburg, VA 23188-5716 · Phone (757) 984-3975

Location 410590 N Meridian St Ste 105Carmel, IN 46290-1028 · Phone (317) 583-7800

Other Identifiers 2

OtherPENDINGFL · Medicare

Medicaid102470700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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 Fayth Dorothy 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 ID3173862257

PECOS Enrollment IDI20190307001465, I20201002002257

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

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

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330224

Location105 Mary's AvenueKingston, NY 12401 · Ulster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology