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Active NPI 1245953470 Individual Practitioner Female Practitioner

Alyssa M Branson , FNP

Nurse Practitioner • Belleville, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Alyssa Branson, FNP is a certified Nurse Practitioner practicing in Belleville, IL. With approximately 4 years of clinical experience since completing medical education in 2022, Alyssa Branson delivers high-quality medical care to the local community at 4600 MEMORIAL DR STE 400.

Alyssa Branson is affiliated with Fairview Heights Medical Group Sc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, transitional care management services for problem of at least moderate complexity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4600 Memorial Dr Ste 400

Belleville, IL 622265366

Telephone 6182574100
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Belleville, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -4.4 yrs vs City Avg
City Avg: 8.4 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
45 Specialists

Practicing in Belleville, IL (4929 Statewide)

Telehealth Adoption Rate
13.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Branson (4 Years) 4 Yrs
Belleville Specialty Average (8.4 Years) 8.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
111 83 $228.22 $106.02
99213 Established patient office or other outpatient visit, typically 15 minutes
36 33 $187.00 $75.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
23 23 $222.00 $106.41

Medical Specialties & State Licenses

CMS Verified: 2025-09-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209025308

(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.

Hospital & Practice Group Affiliations

Fairview Heights Medical Group Sc

1 Memorial Dr, Alton, IL 620026722

Phone: 6184637240

Fairview Heights Medical Group Sc

4600 Memorial Dr, Belleville, IL 622265366

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Angie Harris , DO

Family Medicine

NPI 1972694685

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 20, 2024

Registered at 4600 MEMORIAL DR STE 400, BELLEVILLE, IL 622265366 (Tel: 6182574100)

📍
Updated Business Mailing Address December 20, 2024

Registered at PO BOX 959203, SAINT LOUIS, MO 631958512 (Tel: 6182350460)

📍
Updated Business Mailing Address March 13, 2024

Registered at 660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 631418512 (Tel: 3144483791)

👤
Provider Name / Credentials Updated October 11, 2023

Recorded as ALYSSA BRANSON, FNP

NPI Profile Active September 22, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2022

Registered at 4600 MEMORIAL DR STE 260, BELLEVILLE, IL 622265363 (Tel: 6182574100)

📍
Updated Business Mailing Address September 22, 2022

Registered at 4600 MEMORIAL DR STE 260, BELLEVILLE, IL 622265363 (Tel: 6182574100)

👤
Provider Name / Credentials Updated September 22, 2022

Recorded as ALYSSA DIERCKS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2022

Nurse Practitioner (License #209025308 in IL)

🟢
Initial NPI Registration & Enumeration September 22, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245953470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2022
Last Update: September 26, 2025
Sole Proprietor: No

Mailing Address

Po Box 959203

Saint Louis, MO 631958512

Phone: 6182350460

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.