ALYSSA RUWE MARTZ NPI 1043757867

NPI Information

  • NPI: 1043757867
  • Provider Name: ALYSSA RUWE MARTZ
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6812 STATE ROUTE 162
    SUITE 123
    MARYVILLE, IL
    ZIP 62062
  • Phone: (618) 288-9460

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NPI Details

Alyssa Ruwe Martz is a family nurse practitioner in Maryville, IL with 9 years of experience. Alyssa Ruwe Martz NPI is 1043757867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6812 STATE ROUTE 162
SUITE 123
MARYVILLE, IL
ZIP 62062-553
Phone: (618) 288-9460
Fax: (618) 288-9461

The NPI 1043757867 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose (HCPCS:J7321)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 1/31/2017 and was last updated on 11/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209015399ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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