Alycea Noel Pupp, APNP is a
Nurse Practitioner - Family physician based in Weston, Wisconsin. Alycea Noel Pupp is licensed to practice in Wisconsin (license number 6153) and her current practice location is 5302 Fuller St, Weston, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 219-8950.
NPI number for Alycea Noel Pupp is 1508264839 and her current mailing address is 5302 Fuller St, Weston, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508264839.
Physician's Profile
Full Name | Alycea Noel Pupp |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 5302 Fuller St, Weston, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508264839
- Provider Enumeration Date: 12/19/2014
- Last Update Date: 03/27/2022
Medical Identifiers
Medical identifiers for Alycea Noel Pupp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508264839 | NPI | - | NPPES |
160594 | Other | WI | RN LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 6153-33 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 6153 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alycea Noel Pupp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alycea Noel Pupp, APNP 5302 Fuller St, Weston, WI 54476-3101 Ph: (715) 219-8950 | Alycea Noel Pupp, APNP 5302 Fuller St, Weston, WI 54476-3101 Ph: (715) 219-8950 |
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