ALEXANDRA DIERSEN FNP-C
NPI 1417836396
Nurse Practitioner - Family in Milwaukee, WI

Active since August 27, 2025PECOS EnrolledAccepts Medicare Assignment
2400 W VILLARD AVE, MILWAUKEE, WI 53209(414) 527-8191 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2025, Sep 4, 2025 (2 updates tracked since 2025).

About Alexandra Diersen Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA DIERSEN FNP-C (NPI 1417836396) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (17382-33) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417836396
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXANDRA DIERSENCredential: FNP-C
Location Address2400 W VILLARD AVEMilwaukee, WI 53209-4901
Mailing Address2400 W Villard AveMilwaukee, WI 53209-4901 · (414) 527-8191
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 27, 2025
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
NPI 1417836396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 17382-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 164167 (IA)
2400 W VILLARD AVE, Milwaukee, WI 53209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexandra Diersen Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143712737
PECOS Enrollment IDI20251121000354
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Case Manager/Care Coordinator
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Family Medicine
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Family Medicine
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Diersen's NPI number?

The NPI number for Alexandra Diersen is 1417836396. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Alexandra Diersen located?

Alexandra Diersen practices at 2400 W Villard Ave, Milwaukee, WI 53209. The listed phone number is (414) 527-8191.

What is Alexandra Diersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alexandra Diersen enrolled in Medicare?

Yes. Alexandra Diersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alexandra Diersen affiliated with any hospitals?

According to CMS data, Alexandra Diersen is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Alexandra Diersen was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.