Alyssa Anderson, APRN, CNP
NPI 1124703160ActiveIndividual· Nurse Practitioner, Family· Mankato, MN
Nurse Practitioner, Family (APRN, CNP) with Mankato Clinic Ltd, practicing in Mankato, Minnesota. Enrolled in Medicare as practitioner - nurse practitioner. Lists River's Edge Hospital & Clinic as a hospital affiliation.
Overview
| NPI | 1124703160 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, CNP |
| Sole proprietor | No |
| NPI issued | Jun 19, 2023 |
| Last updated in NPPES | Jun 16, 2025 |
| Certified by provider | Jun 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 12896 | MN |
| Registered Nurse | 163W00000X | 2489839 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mankato Clinic LtdMankato, MN · 242 clinicians
Hospital affiliation
- River's Edge Hospital & ClinicSt Peter, MN
Other facilities
- Pathstone LivingNursing home · Mankato, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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