ALYSSA NICOLE DEJONG PA-C NPI 1720699242

NPI Information

  • NPI: 1720699242
  • Provider Name: ALYSSA NICOLE DEJONG, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 561 N GRAHAM ST UNIT 101
    STEPHENVILLE, TX
    ZIP 76401
  • Phone: (254) 965-2663

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NPI Details

Alyssa Nicole Dejong, PA-C is a medical physician assistant in Stephenville, TX with 5 years of experience. Alyssa Nicole Dejong, PA-C NPI is 1720699242. 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:

561 N GRAHAM ST UNIT 101
STEPHENVILLE, TX
ZIP 76401-555
Phone: (254) 965-2663
Fax: (254) 968-7979

The NPI 1720699242 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.

  • Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg (HCPCS:J7329)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)

The enumeration date for this NPI number is 8/10/2020 and was last updated on 10/11/2023.

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
1363AM0700XPhysician AssistantMedicalPA15009TEXASYes
2363A00000XPhysician AssistantPA15009TEXASNo

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: 11/21/2025

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