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Alyssa Mae Small

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NPI Number Detailed Information

Provider Information:

Name: Alyssa Mae Small
Gender: F
Provider License Number If Given: 71010933A

NPI Information:

NPI: 1801417779
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 5/2/2020
Last Update Date: 10/14/2022

Provider Business Mailing Address:

Address: 11109 PARKVIEW PLAZA DR # 117
Fort Wayne, IN 46845
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 1104 N WAYNE ST
North Manchester, IN 46962
Phone Number: 2609822102
Fax Number: 2605692305

Provider Taxonomy:

Primary: 363L00000X
Secondary (if any):
State: IN

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About Alyssa Mae Small

Alyssa Mae Small ( ALYSSA MAE SMALL ) is (1) Nurse Practitioner Physician in North Manchester, IN. The NPI Number for Alyssa Mae Small is 1801417779.
The current location address for Alyssa Mae Small is 1104 N WAYNE ST North Manchester, IN 46962 and the contact number is and fax number is . The mailing address for Alyssa Mae Small is 11109 PARKVIEW PLAZA DR # 117 Fort Wayne, IN 46845- 2609822102 (mailing address contact number - ).
(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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Alyssa Mae Small ?


Answer: The NPI Number for Alyssa Mae Small is 1801417779

Where is Alyssa Mae Small located?


Answer: Alyssa Mae Small is located at 1104 N WAYNE ST North Manchester, IN 46962.

What is the specialty for Alyssa Mae Small ?


Answer: The Specialty of Alyssa Mae Small is (1) Nurse Practitioner Physician.

Are there any online reviews for Alyssa Mae Small ?


Answer: Not yet!

Are there any other health care providers in North Manchester, IN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Alyssa Mae Small

Number of HCPCS 8
Number of Medicare Beneficiaries 21
Number of Services 21
Total Submitted Charge Amount 1211.66
Total Medicare Allowed Amount 429.11
Total Medicare Payment Amount 379.29
Total Medicare Standardized Payment Amount 388.51
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 80
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries 21
Number of Black or African American Beneficiaries 0
Number of Asian Pacific Islander Beneficiaries 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 0
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.62
Percent (%) of Beneficiaries Identified With Hypertension 0.71
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.0304

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 634
Number of Standardized 30-Day Fills 1187.7
Aggregate Cost Paid for All Claims 51184.46
Number of Day's Supply for All Claims 31607
Number of Medicare Beneficiaries 186
Number of Claims, Including Refills, for Beneficiaries Age 65+ 534
Including Refills, for Beneficiaries Age 65+ 1013.3
Beneficiaries Age 65+ 37254.17
Number of Day's Supply for All Claims for Beneficaries Age 65+ 27007
Number of Medicare Beneficiaries Age 65+ 160
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 536
Aggregate Cost Paid for Generic Drugs 12244.82
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 342
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 36021.25
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 292
Aggregate Cost Paid for Claims Filled by 15163.21
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 193
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 21356.29
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 441
by Low-Income Subsidy 29828.17
Total Claims of Opioid Drugs, Including 38
Aggregate Cost Paid for Opioid Drugs 782.86
Opioid Claims 27
Opioid_Tot_Clms divided by the Tot_Clms 5.9936908517
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 48
Aggregate Cost Paid for Antibiotic Drugs 718.06
Antibiotic Claims 40
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 75.032258065
Number of Beneficiaries Age Less Than 65 26
Number of Beneficiaries Age 65 to 74 64
Number of Beneficiaries Age 75 to 84 60
Number of Female Beneficiaries 110
Number of Male Beneficiaries 76
Number of Non-Hispanic White 181
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 152
Average Hierarchical Condition Category 1.29488058

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