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MR. SHANE V. MOISIO MD
NPI 1487601720
Psychiatry & Neurology - Child & Adolescent Psychiatry in Milwaukee, WI

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
1919 W NORTH AVE STE 200, MILWAUKEE, WI 53205(414) 257-7610(414) 266-3735 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Shane V. Moisio Md NPPES

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

MR. SHANE V. MOISIO MD (NPI 1487601720) is an individual child & adolescent psychiatry provider in Milwaukee, Wisconsin, licensed in Wisconsin (44961) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2001).

NPPES Registry Identity

NPI1487601720
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameMR. SHANE V. MOISIOCredential: MD
Location Address1919 W NORTH AVE STE 200Milwaukee, WI 53205-1101
Mailing Address1919 W North Ave Ste 200Milwaukee, WI 53205-1101 · (414) 257-7610 · Fax (414) 266-3735
Phone(414) 257-7610
Fax(414) 266-3735
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2001
Enumeration DateMay 30, 2006
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1487601720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in WI · 44961
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1919 W NORTH AVE STE 200, Milwaukee, WI 53205
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Other Identifiers 1

Medicaid34317100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Shane V. Moisio Md 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 ID547272551
PECOS Enrollment IDI20060612000077
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shane Moisio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health Emergency Center, Inc.
0.8 mi
Psychiatric Hospital
1525 N 12TH ST
Milwaukee, WI 53205
  • Reassigned Medicare billing, Wisconsin enrollment
  • 49 clinicians in this Medicare group
NPI 1255099941 (414) 339-9486
County Of Milwaukee
0.9 mi
Psychiatry
1220 W VLIET ST FL 3
Milwaukee, WI 53205
  • Reassigned Medicare billing, Wisconsin enrollment
  • 12 clinicians in this Medicare group
NPI 1831256353 (414) 257-6995
Milwaukee Behavioral Health LLC
4.6 mi
Psychiatric Hospital
1706 S 68TH ST
Milwaukee, WI 53214
  • Reassigned Medicare billing, Wisconsin enrollment
  • 41 clinicians in this Medicare group
NPI 1497324115 (414) 667-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

DR. CARLY ROSEMARY FRANCES WALLACE
Psychologist
1919 W NORTH AVE STE 200
MILWAUKEE, WI 53205
Milwaukee County (414) 257-7610

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 Shane Moisio's NPI number?

The NPI number for Shane Moisio is 1487601720. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Shane Moisio located?

Shane Moisio practices at 1919 W North Ave Ste 200, Milwaukee, WI 53205. The listed phone number is (414) 257-7610.

What is Shane Moisio's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Shane Moisio enrolled in Medicare?

Yes. Shane Moisio 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.

Which organizations bill Medicare for Shane Moisio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Moisio reassigns Medicare benefits to 3 organizations: Mental Health Emergency Center, Inc. (Milwaukee, WI), County Of Milwaukee (Milwaukee, WI) and Milwaukee Behavioral Health LLC (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shane Moisio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Moisio accept?

Health plans from Dean Health Plan and Network Health list Shane Moisio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Moisio was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.