Individual ProviderAlysia AtkinsonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(217) 788-0706(217) 341-4148PECOS EnrollmentBased on the most recent information from CMS, provider Alysia Atkinson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1649450578Provider TypeIndividualFull NameAtkinson, AlysiaCredentialNPGenderFemaleSole ProprietorNoEnumeration Date11/8/2007Last Updated7/6/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(217) 788-0706Fax(217) 525-2535Mailing LocationMailing Address3613 Troon Dr, Springfield, IL 62712-5541Phone(217) 341-4148FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209006819Illinois