Alyssa Rose Doherty is a Family Nurse Practitioner practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1528867132, which was assigned on March 8, 2025, and the registration record was last updated on August 28, 2025. The practitioner's main practice location is at 2845 Greenbrier Rd, Green Bay, WI 54311-6519; the contact telephone number is 9202888000. The primary taxonomy of Alyssa Rose Doherty is Family Nurse Practitioner (363LF0000X), with specialization in Family. Alyssa Rose Doherty is licensed to practice in the state of Wisconsin (#15770-33), Wisconsin (#15770-33).
| NPI | 1528867132 |
| Entity Type | Individual |
| Provider Name | ALYSSA ROSE DOHERTY |
| Gender | Female |
| Credential | NP |
| Practice Address |
2845 Greenbrier Rd Green Bay WI 54311-6519 |
| Practice Telephone | 9202888000 |
| Mailing Address |
3045 Colleen Dr Green Bay WI 54311-5772 |
| Mailing Telephone | 9062853505 |
| Certification Date | 2025-08-28 |
| Enumeration Date | 2025-03-08 |
| Last Update Date | 2025-08-28 |
| Is Sole Proprietor | N |
| PAC ID |
8123538246 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | ALYSSA ROSE DOHERTY |
| Primary Specialty | NURSE PRACTITIONER |
| Address |
Po Box Suite 735044 Chicago IL 60673 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 15770-33 | WI | ||
| Y | 363LF0000X | Nurse Practitioner | Family | 15770-33 | WI |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 100317174 | WI | MEDICAID |
| Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| Classification | Nurse Practitioner |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
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|---|---|---|---|
| Paula Church | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | Family Nurse Practitioner | 2026-04-11 |
| Sagen Thomas Daniels | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | Family Nurse Practitioner | 2026-04-11 |
| Jennifer Holycross | 1222 S Orange Ave, Orlando, FL 32806-1215 | Family Nurse Practitioner | 2026-04-11 |
| Nv Always Your Doctor Plus | 4580 S Eastern Ave Ste 29, Las Vegas, NV 89119-6100 | Family Nurse Practitioner | 2026-04-10 |
| Kara Ty Turner | 227 S Main St, Woodstock, VA 22664-1451 | Family Nurse Practitioner | 2026-04-11 |
| The Life Center Complex, Inc | 1570 N Dupont Hwy, Dover, DE 19901-2215 | Family Nurse Practitioner | 2026-04-11 |
| Almamed Health Center LLC | 11284 W Hillsborough Ave, Tampa, FL 33635-9762 | Family Nurse Practitioner | 2026-04-10 |
| Rusti Lynn Johnson | 458 Doss Ferry Pkwy, Kimberly, AL 35091-2032 | Family Nurse Practitioner | 2026-04-10 |
| Lizeth Mauro | 440 S York Rd, Bensenville, IL 60106-2631 | Family Nurse Practitioner | 2026-04-10 |
| Bidart Health Services, LLC | 1541 Brickell Ave Apt B2603, Miami, FL 33129-3108 | Family Nurse Practitioner | 2026-04-11 |
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| Street Address |
2845 GREENBRIER RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tyler Jessel | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Physician Assistant | 2022-02-10 |
| Kaylee Marie Luck | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Urology Physician | 2020-03-26 |
| Brooke Elise Presny | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Surgical Physician Assistant | 2026-04-06 |
| Hannah Noelle Juckem | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Certified Registered Nurse Anesthetist | 2024-09-07 |
| Nicholas Gibson | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Internal Medicine Physician | 2022-04-05 |
| Caitlin Hester | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Certified Registered Nurse Anesthetist | 2023-07-31 |
| Amanda Lynn Rucinski | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Gerontology Nurse Practitioner | 2025-07-28 |
| Megan Ann King | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Pediatric Nurse Practitioner | 2024-03-27 |
| Constance Panton | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Obstetrics & Gynecology Physician | 2021-04-01 |
| Kelly Lauretta Retzlaff | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Audiologist | 2021-09-28 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Eric J Tarsi | 2223 Lime Kiln Rd, Green Bay, WI 54311 | Physical Therapist | 2005-12-07 |
| Paige Levi | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Social Worker | 2024-01-17 |
| Jade County Community Tre Pirlott | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Professional Counselor | 2025-12-20 |
| Taylor Lauren Shefchik · Taylor Smiley | 2617 Development Dr, Green Bay, WI 54311-4240 | Physician Assistant | 2024-10-02 |
| Semyon Zarkhin | 2617 Development Dr, Green Bay, WI 54311-4240 | Dermatology Physician | 2007-07-23 |
| Carrie Kraemer | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Social Worker | 2023-10-04 |
| Jenna R Mobile | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Addiction (Substance Use Disorder) Counselor | 2026-01-31 |
| Sbh-Green Bay LLC | 1351 Ontario Rd, Green Bay, WI 54311 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2016-09-21 |
| Jacinda J Hecker | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Social Worker | 2024-07-09 |
| Jamie Lee Noxon · Jamie Lee Johnston | 1496 Bellevue St # 101, Green Bay, WI 54311-4205 | Mental Health Counselor | 2020-10-26 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Alyssa Rose Ognenovski | 808 W 58th St, Los Angeles, CA 90037 | Family Medicine Physician | 2015-06-29 |
| Alyssa Rose Saykaly | 282 State Route 101, Amherst, NH 03031-1706 | Family Nurse Practitioner | 2025-10-21 |
| Alyssa Rose Baye | 3021 Holmgren Way Ste 100, Green Bay, WI 54304-6303 | Marriage & Family Therapist | 2025-11-17 |
| Alyssa Rose Bartels | 900 S Limestone Ctw 304, Lexington, KY 40536-0293 | Student in an Organized Health Care Education/Training Program | 2026-03-30 |
| Alyssa Rose Liford | 100 Lunger Dr, Bloomsburg, PA 17815-8330 | Pharmacist | 2025-09-09 |
| Alyssa Rose Morabito | 430 New Park Ave Ste 101, West Hartford, CT 06110-1142 | Behavioral Analyst | 2023-06-08 |
| Alyssa Rose Mitchell | 100 South St, Southbridge, MA 01550-4051 | Physician Assistant | 2018-11-15 |
| Alyssa Rose Mosley · Alyssa Rose Dasca | 2410 Del Paso Rd, Sacramento, CA 95834-9607 | Physician Assistant | 2022-07-19 |
| Alyssa Rose Fishbein | 29 Saddle Ridge Rd, Sudbury, MA 01776-2770 | General Practice Dentistry | 2025-07-07 |
| Alyssa Rose Battenfield | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | Case Manager/Care Coordinator | 2025-08-04 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |