ALEXANDRA JANOTA GAINES AGACNP-BC
Accepted Insurance for NPI 1245123728
Nurse Practitioner in Medford, WI

Active since June 02, 2025PECOS EnrolledAccepts Medicare Assignment

135 S GIBSON ST, MEDFORD, WI 54451(715) 748-8100 Get Directions

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2026, Jun 19, 2025, Jun 2, 2025 (3 updates tracked since 2025).

Does Alexandra Gaines take my insurance?

21 Wisconsin plans sold on HealthCare.gov for 2026 include Alexandra Gaines, from Aspirus Health Plan and Anthem Blue Cross and Blue Shield.

InsurersAspirus Health Plan 12 plans Anthem Blue Cross and Blue Shield 9 plans

Call before you book: insurer directories can be out of date, so call the office at (715) 748-8100 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Wisconsin plans 21 plans

Plans sold to Wisconsin residents. Costs are for the standard version of each plan.

Aspirus Health Plan

12 plans · HMO, POS

Not accepting new patients

HMO Gold 2000HMOGold$2,00086584WI0010015

HMO Gold 2700HMOGold$2,70086584WI0010007

HMO HDHP Silver 5900HMOSilver$5,90086584WI0010013

HMO Silver 6000HMOSilver$6,00086584WI0010012

POS Silver 6000POSSilver$6,00086584WI0020001

HMO Silver 6600HMOSilver$6,60086584WI0010001

POS Bronze 8500POSBronze$8,50086584WI0020003

HMO Bronze 10000HMOBronze$10,00086584WI0010009

HMO Bronze $0 Medical DeductibleHMOExpanded Bronze$086584WI0010016

HMO Bronze 7500HMOExpanded Bronze$7,50086584WI0010011

POS Bronze 7500POSExpanded Bronze$7,50086584WI0020005

HMO Catastrophic 10600 with 3 free PCP visitsHMOCatastrophic$10,60086584WI0010008

Anthem Blue Cross and Blue Shield

9 plans · POS

Accepting new patients

Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00079475WI0560005

Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,00079475WI0560009

Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,50079475WI0560004

Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$079475WI0560001

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,00079475WI0560003

Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,45079475WI0560002

Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00079475WI0560008

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00079475WI0560007

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50079475WI0560006

Questions about Alexandra Gaines’s insurance

What insurance does Alexandra Gaines take?

In Wisconsin, Aspirus Health Plan and Anthem Blue Cross and Blue Shield include Alexandra Gaines in 21 Marketplace plans for 2026. Call the office at (715) 748-8100 to confirm your plan before booking.

Do I need a referral to see Alexandra Gaines?

Not under the Wisconsin plans that list Alexandra Gaines: the 2026 plan files say a specialist referral is not required.

Does Alexandra Gaines accept Medicare?

Yes. CMS files show Alexandra Gaines accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	Anthem Blue Cross and Blue Shield: Oct 14, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.