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Desirae Nichole Alsum

NPI 1912748401ActiveIndividual· Nurse Practitioner· Fond Du Lac, WI

Nurse Practitioner with Agnesian Healthcare Inc, practicing in Fond Du Lac, Wisconsin. Medicare paid $5,355 for services to 61 patients in 2024. Lists Ripon Medical Center and 2 other hospitals as hospital affiliations.

Overview

NPI1912748401
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 6, 2024
Last updated in NPPESJul 15, 2024
Certified by providerJul 15, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X15506WI
Nurse Practitioner, Family363LF0000XF06240136WI

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients61
Services billed83 across 8 procedure codes
Paid by Medicare$5,355

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliations

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

Other Nurse Practitioner providers in Fond Du Lac

All Nurse Practitioner providers in Wisconsin →