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

Alyssa Rose Forslin

Individual provider Nurse Practitioner · NPI 1730756909

Alyssa Rose Forslin is a Nurse Practitioner in Waupaca, Wisconsin. Qualified in 2021, 5 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

710 Park Ave
Waupaca, WI 54981-1956
Phone: (920) 720-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 710 Riverside Dr, Waupaca, WI 54981-1941 — (715) 256-3000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10987 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 10987-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10987 (WI)

Record details

NPI number1730756909
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Waupaca