Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa C Puttkammer, PA

Individual provider Physician Assistant · NPI 1477016574

Alyssa C Puttkammer, PA is a Physician Assistant in Murray, Utah. Qualified in 2019, 7 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah and Wisconsin.

Years since qualifying
7
Licensed in
UT, WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5169 S Cottonwood St Ste 410
Murray, UT 84107-6769
Phone: (801) 507-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 S Park St, Madison, WI 53715-1830 — (608) 260-2900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12830622-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 4636-23 (WI)

Record details

NPI number1477016574
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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