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Alyssa S. Deppong, PHYSICIAN ASSISTANT

NPI 1538721451ActiveIndividual· Physician Assistant· Pleasant Prairie, WI

Physician Assistant (PHYSICIAN ASSISTANT) with Aurora Medical Group, Inc., practicing in Pleasant Prairie, Wisconsin. 19 Medicare patients in 2024, $1,291 paid; all of their 59 Part D prescriptions were generic. Lists Aurora Medical Center Kenosha as a hospital affiliation.

Overview

NPI1538721451
StatusActive
Entity typeIndividual
CredentialPHYSICIAN ASSISTANT
Sole proprietorNo
NPI issuedJul 1, 2019
Last updated in NPPESDec 5, 2022
Certified by providerDec 5, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X4736-23WI
Internal Medicine, Gastroenterology207RG0100X4736-23WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients19
Services billed19 across 11 procedure codes
Paid by Medicare$1,291

Part D prescriptions in 2024

Prescriptions (claims)59 · 59 30-day fills
Patients48
Total drug cost$361.56
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

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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