Alyssa Detommaso, PA-C
NPI 1801339791 · Physician Assistant · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alyssa Detommaso, PA-C is a Physician Assistant provider in Fort Wayne, IN (NPI 1801339791).
Provider details
- NPI number
- 1801339791
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10002198A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-11-23
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Frequently asked questions
- What is Alyssa Detommaso's NPI number?
- Alyssa Detommaso's National Provider Identifier (NPI) is 1801339791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alyssa Detommaso's specialty?
- Alyssa Detommaso is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Alyssa Detommaso located?
- Alyssa Detommaso's practice location on file with NPPES is 2516 E Dupont Rd, Fort Wayne, IN 46825-1608.
- What is Alyssa Detommaso's phone number?
- The practice phone number listed in the NPPES registry for Alyssa Detommaso is (260) 458-3050.
- Does Alyssa Detommaso accept Medicare?
- Alyssa Detommaso is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alyssa Detommaso's NPI active?
- Yes — Alyssa Detommaso's NPI (1801339791) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.