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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: August 02, 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 Anthem Blue Cross and Blue Shield, Medica, Network Health and more.Insurance ›

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

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.

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.

What insurance does Shane Moisio accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health and UnitedHealthcare 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 18 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.