ANIKA ALAM PA
Accepted Insurance for NPI 1821860321
Physician Assistant in Pleasant Prairie, WI

Active since October 27, 2023PECOS EnrolledAccepts Medicare Assignment
9697 SAINT CATHERINES DR STE 300, PLEASANT PRAIRIE, WI 53158(262) 577-8320 Get Directions

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Does Anika Alam take my insurance?

Network Health includes Anika Alam in 13 Wisconsin plans sold on HealthCare.gov for 2026, all on its WI NE and SE network. Ambetter Health also lists Anika Alam in Illinois, Indiana, Iowa, Kentucky and Missouri.

Call before you book: insurer directories can be out of date, so call the office at (262) 577-8320 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

92 plans · 105 plan IDs · 2026 plan year

Wisconsin plans 13 plans · 26 plan IDs

Plans sold to Wisconsin residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.

Network Health

13 plans · HMO
Accepting new patients
Prestige Gold 50 + 1 Free PCP VisitHMOGold$1,00081413WI0480016
Prestige Gold 50 + Dental + Vision + 1 Free PCP VisitHMOGold$1,00081413WI0460016
Prestige Gold Essential + 3 Free PCP VisitsHMOGold$1,75081413WI0480013
Prestige Gold Essential + Dental + Vision + 3 Free PCP VisitsHMOGold$1,75081413WI0460013
Prestige GoldHMOGold$2,50081413WI0480004
Prestige Silver Essential + 3 Free PCP VisitsHMOSilver$4,60081413WI0480011
Prestige Silver Essential + Dental + Vision + 3 Free PCP VisitsHMOSilver$4,60081413WI0460011
Prestige SilverHMOSilver$6,40081413WI0480003
Prestige Bronze $0 Medical DeductibleHMOExpanded Bronze$081413WI0480018
Prestige Bronze $0 Medical Deductible + Dental + VisionHMOExpanded Bronze$081413WI0460018
Prestige Bronze PlusHMOExpanded Bronze$7,50081413WI0480002
Prestige Bronze Essential + 3 Free PCP VisitsHMOExpanded Bronze$7,75081413WI0480008
Prestige Bronze Essential + Dental + Vision + 3 Free PCP VisitsHMOExpanded Bronze$7,75081413WI0460008

Also listed in other states 79 plans · 5 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Ambetter Health · Indiana

18 plans · HMO
Not accepting new patientsDeductible $0 to $9,350
Elite GoldHMOGold$035065IN0040007
Elite Gold + Vision + Adult DentalHMOGold$035065IN0050006
Complete GoldHMOGold$1,45035065IN0040004
Complete Gold + Vision + Adult DentalHMOGold$1,45035065IN0050003
Signature GoldHMOGold$2,50035065IN0040013
Signature Gold + Vision + Adult DentalHMOGold$2,50035065IN0050012
Enhanced Diabetes Care Silver $0 Rx OptionsHMOSilver$5,00035065IN0040019
Enhanced Diabetes Care Silver $0 Rx Options + Vision + Adult DentalHMOSilver$5,00035065IN0050017
Focused SilverHMOSilver$6,30035065IN0040010
Focused Silver + Vision + Adult DentalHMOSilver$6,30035065IN0050009
Signature SilverHMOSilver$6,40035065IN0040001
Signature Silver + Vision + Adult DentalHMOSilver$6,40035065IN0050001
Signature Expanded BronzeHMOExpanded Bronze$7,50035065IN0040017
Signature Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50035065IN0050015
Choice Bronze HSAHMOExpanded Bronze$7,95035065IN0040015
Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,95035065IN0050013
Everyday BronzeHMOExpanded Bronze$9,35035065IN0040016
Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$9,35035065IN0050014

Ambetter Health · Iowa

17 plans · HMO
Not accepting new patientsDeductible $0 to $9,350
Everyday GoldHMOGold$80048286IA0010016
Everyday Gold + Vision + Adult DentalHMOGold$80048286IA0020016
Complete GoldHMOGold$1,45048286IA0010015
Complete Gold + Vision + Adult DentalHMOGold$1,45048286IA0020015
Signature GoldHMOGold$2,50048286IA0010017
Signature Gold + Vision + Adult DentalHMOGold$2,50048286IA0020017
Streamlined SilverHMOSilver$4,70048286IA0010025
Focused SilverHMOSilver$6,30048286IA0010019
Focused Silver + Vision + Adult DentalHMOSilver$6,30048286IA0020019
Signature SilverHMOSilver$6,40048286IA0010020
Signature Silver + Vision + Adult DentalHMOSilver$6,40048286IA0020023
Elite BronzeHMOExpanded Bronze$048286IA0010013
Elite Bronze + Vision + Adult DentalHMOExpanded Bronze$048286IA0020013
Signature Expanded BronzeHMOExpanded Bronze$7,50048286IA0010014
Signature Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50048286IA0020014
Everyday BronzeHMOExpanded Bronze$9,35048286IA0010012
Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$9,35048286IA0020012

Ambetter Health · Missouri

17 plans · EPO
Not accepting new patientsDeductible $0 to $9,350
Everyday GoldEPOGold$80099723MO0090063
Everyday Gold + Vision + Adult DentalEPOGold$80099723MO0110063
Complete GoldEPOGold$1,45099723MO0090016
Complete Gold + Vision + Adult DentalEPOGold$1,45099723MO0110010
Signature GoldEPOGold$2,50099723MO0090071
Signature Gold + Vision + Adult DentalEPOGold$2,50099723MO0110072
Summit SilverEPOSilver$4,10099723MO0090021
Signature SilverEPOSilver$6,40099723MO0090070
Signature Silver + Vision + Adult DentalEPOSilver$6,40099723MO0110027
Complete SilverEPOSilver$6,95099723MO0090011
Complete Silver + Vision + Adult DentalEPOSilver$6,95099723MO0110013
Elite BronzeEPOExpanded Bronze$099723MO0090053
Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$099723MO0110053
Signature Expanded BronzeEPOExpanded Bronze$7,50099723MO0090069
Signature Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50099723MO0110070
Everyday BronzeEPOExpanded Bronze$9,35099723MO0090018
Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$9,35099723MO0110009

Ambetter Health · Kentucky

16 plans · HMO
Not accepting new patientsDeductible $800 to $8,450
Everyday GoldHMOGold$80072001KY0020010
Everyday Gold + Vision + Adult DentalHMOGold$80072001KY0030010
Complete GoldHMOGold$1,45072001KY0020009
Complete Gold + Vision + Adult DentalHMOGold$1,45072001KY0030009
Enhanced Asthma/COPD Care Silver with $0 Drug OptionsHMOSilver$5,90072001KY0020012
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalHMOSilver$5,90072001KY0030012
Complete SilverHMOSilver$5,95072001KY0020005
Complete Silver + Vision + Adult DentalHMOSilver$5,95072001KY0030005
Focused SilverHMOSilver$6,30072001KY0020007
Focused Silver + Vision + Adult DentalHMOSilver$6,30072001KY0030007
Clear SilverHMOSilver$7,00072001KY0020006
Clear Silver + Vision + Adult DentalHMOSilver$7,00072001KY0030013
Choice Bronze HSAHMOExpanded Bronze$7,25072001KY0020002
Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,25072001KY0030002
Everyday BronzeHMOExpanded Bronze$8,45072001KY0020003
Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45072001KY0030003

Ambetter Health · Illinois

11 plans · HMO
Not accepting new patientsDeductible $800 to $7,000
Everyday GoldHMOGold$80027833IL0140064
Everyday Gold + Vision + Adult DentalHMOGold$80027833IL0150059
Central GoldHMOGold$1,00027833IL0140071
Central Gold + Vision + Adult DentalHMOGold$1,00027833IL0150071
Standard GoldHMOGold$2,00027833IL0140075
Standard Gold + Vision + Adult DentalHMOGold$2,00027833IL0150074
Standard SilverHMOSilver$6,00027833IL0140074
Standard Silver + Vision + Adult DentalHMOSilver$6,00027833IL0150073
Focused SilverHMOSilver$6,30027833IL0140063
Focused Silver + Vision + Adult DentalHMOSilver$6,30027833IL0150058
Clear SilverHMOSilver$7,00027833IL0140061

Questions about Anika Alam’s insurance

Does Anika Alam take Network Health?

For Wisconsin Marketplace plans, yes: Network Health includes Anika Alam in 13 plans for 2026. Call the office at (262) 577-8320 to confirm your plan before booking.

Do I need a referral to see Anika Alam?

Not under the Wisconsin plans that list Anika Alam: the 2026 plan files say a specialist referral is not required.

Does Anika Alam accept Medicare?

Yes. CMS files show Anika Alam accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Ambetter Health: Nov 4, 2026
Network Health: Jun 5, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026, Oct 20, 2026
CMS state-based exchange public use filesPlan details for states that run their own exchange, here Illinois and Kentucky. No document links.Plan year 2026, Jun 3, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.