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

Alyssa Ruwe Martz

Individual provider Family Nurse Practitioner · NPI 1043757867

Alyssa Ruwe Martz is a Nurse Practitioner in Maryville, Illinois. Qualified in 2016, 10 years ago. Practices with Anderson Medical Group LLC, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
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Practice location Address checks out

6812 State Route 162 Ste 123
Maryville, IL 62062-8553
Phone: (618) 288-9460
Fax: (618) 288-9461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209015399 (IL)

Record details

NPI number1043757867
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2017
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing address6812 State Route 162, Suite 123, Maryville, IL 62062-8553

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Anderson Medical Group Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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