Alycea Noel Pupp, APNP - Nurse Practitioner in Weston, WI

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.

Contact Information

Alycea Noel Pupp, APNP
5302 Fuller St,
Weston, WI 54476-3101
(715) 219-8950
(715) 692-0246



Physician's Profile

Full NameAlycea Noel Pupp
GenderFemale
SpecialityNurse Practitioner - Family
Location5302 Fuller St, Weston, Wisconsin
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1508264839NPI-NPPES
160594OtherWIRN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 6153-33 (Wisconsin)Secondary
363LF0000XNurse 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 AddressPractice 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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