Doctor profile · Federal record
Dr. Alyssa Wahlstrom, PA-C
Physician Assistant · Dewey, AZ
- NPI 1588492151
- Accepts Medicare
- 2 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12075 E State Route 69 Ste B
Dewey, AZ 863274569
(928) 772-1673
fax (928) 772-1674
Credentials & registration
- NPI registered
- July 2024 — 2 yrs on file
- Profile last updated
- October 22, 2025
- Year of graduation
- 2024 — 2 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Arizona #10502
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1588492151. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$202
Transactions
11
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 2 | $51.78 | |
| Novo Nordisk INC | 3 | $49.47 | |
| Amgen INC. | 2 | $35.22 | |
| Insulet Corporation | 1 | $22.26 | |
| Exact Sciences Corporation | 1 | $15.11 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $14.01 | |
| Lilly USA, LLC | 1 | $13.87 |
By nature of payment
Frequently asked questions
What is Dr. Alyssa Wahlstrom's medical specialty?
Dr. Alyssa Wahlstrom practices Physician Assistant in Dewey, AZ.
Where does Dr. Alyssa Wahlstrom practice?
Dr. Alyssa Wahlstrom practices at 12075 E State Route 69 Ste B, Dewey, AZ 863274569. Office phone: 9287721673.
What is Dr. Alyssa Wahlstrom's NPI?
Dr. Alyssa Wahlstrom's National Provider Identifier (NPI) is 1588492151, issued by NPPES.
Does Dr. Alyssa Wahlstrom accept Medicare assignment?
Yes. Dr. Alyssa Wahlstrom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.