Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891417283 Individual Practitioner Female Practitioner

Alyssa M Brown , CPNP-AC

Nurse Practitioner - Pediatrics • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Alyssa Brown, CPNP-AC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Springfield, IL. Practice services are available at 415 N 9TH ST STE 4W64 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 N 9th St Ste 4w64

Springfield, IL 627025303

Telephone 2175458000
Fax 2175456654
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Springfield, IL (694 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-18
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License IL 209.025451

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License MO 2022034477

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location May 18, 2025

Registered at 415 N 9TH ST STE 4W64, SPRINGFIELD, IL 627025303 (Tel: 2175458000)

📍
Updated Practice Location April 26, 2024

Registered at 400 N 9TH ST FL 2, SPRINGFIELD, IL 627025310 (Tel: 2175458000)

👤
Provider Name / Credentials Updated April 26, 2024

Recorded as ALYSSA BROWN, CPNP-AC

📍
Updated Practice Location April 12, 2023

Registered at 400 N 9TH ST, SPRINGFIELD, IL 627025310 (Tel: 2175458000)

📍
Updated Business Mailing Address April 12, 2023

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175458000)

NPI Profile Active September 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2022

Registered at 1 CHILDRENS PL, SAINT LOUIS, MO 631101081 (Tel: 3144546000)

📍
Updated Business Mailing Address September 13, 2022

Registered at 2508 N SKYLINE DR, URBANA, IL 618027482

👤
Provider Name / Credentials Updated September 13, 2022

Recorded as ALYSSA WICHMANN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2022

Nurse Practitioner (License #2022034477 in MO)

🟢
Initial NPI Registration & Enumeration September 13, 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: 1891417283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2022
Last Update: May 18, 2025
Sole Proprietor: No

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175458000

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.