ALYSSA EIRICH
NPI 1699635490
Nurse Practitioner - Family in Pleasant Prairie, WI

Q: What is Alyssa Eirich's NPI number?

The NPI number for Alyssa Eirich is 1699635490. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Q: What is Alyssa Eirich'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 Eirich was last updated on May 8, 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 November 13, 2025PECOS EnrolledAccepts Medicare Assignment

10256 OLD GREEN BAY RD, PLEASANT PRAIRIE, WI 53158(262) 551-4200(262) 551-4947 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2026, Nov 13, 2025 (2 updates tracked since 2025).

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About Alyssa Eirich NPPES

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

ALYSSA EIRICH (NPI 1699635490) is an individual family provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (17403-33) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2024).

NPPES Registry Identity

NPI1699635490

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALYSSA EIRICH

Location Address10256 OLD GREEN BAY RDPleasant Prairie, WI 53158-2814

Mailing Address9555 76th StPleasant Prairie, WI 53158-1984

Phone(262) 551-4200

Fax(262) 551-4947

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 13, 2025

Last NPPES UpdateMay 8, 20262 updates tracked since enumeration

NPPES CertifiedMay 8, 2026

✔ NPI 1699635490 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 WI · 17403-33

10256 OLD GREEN BAY RD, Pleasant Prairie, WI 53158

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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 Eirich 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 ID2365920717

PECOS Enrollment IDI20260128002175

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.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number520021

Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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 5

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

DR. DAISY ANDALEON M.D.

Family Medicine