ALEXANDRIA COLLEEN DATTILO APNP - NPI 1497493845 - Nurse Practitioner in Kenosha, WI

Q: What is Alexandria Dattilo's NPI number?

The NPI number for Alexandria Dattilo is 1497493845. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Q: What is Alexandria Dattilo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

On this page

About Alexandria Colleen Dattilo Apnp NPPES

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

ALEXANDRIA COLLEEN DATTILO APNP (NPI 1497493845) is an individual psychiatric/mental health provider in Kenosha, Wisconsin, licensed in Wisconsin (11876-33) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497493845

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameALEXANDRIA COLLEEN DATTILOCredential: APNP

Location Address1010 35TH STKenosha, WI 53140-1902

Mailing Address1010 35th StKenosha, WI 53140-1902 · (262) 725-4426 · Fax (262) 299-7136

Phone(262) 725-4426

Fax(262) 299-7136

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 25, 2022

Last NPPES UpdateMarch 17, 20254 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1497493845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 11876-33

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11876-33 (WI)

1010 35TH ST, Kenosha, WI 53140

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica 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 (PECOS)

Alexandria Colleen Dattilo Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305220633

PECOS Enrollment IDI20220905000404

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53140 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 5

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

CHRISTINE MARIE TURCOTTE APNP