ALEXANDRA JELACIC APNP
NPI 1669071809
Nurse Practitioner - Family in Waukesha, WI

Active since October 20, 2020PECOS EnrolledAccepts Medicare Assignment
725 AMERICAN AVE, WAUKESHA, WI 53188(262) 928-1000 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alexandra Jelacic Apnp NPPES

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

ALEXANDRA JELACIC APNP (NPI 1669071809) is an individual family provider in Waukesha, Wisconsin, licensed in Wisconsin (10476-33) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669071809
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXANDRA JELACICCredential: APNP
Location Address725 AMERICAN AVEWaukesha, WI 53188-5031
Mailing Address725 American AveWaukesha, WI 53188-5031 · (262) 928-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
NPI 1669071809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 10476-33
725 AMERICAN AVE, Waukesha, WI 53188

Accepted 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

Alexandra Jelacic Apnp 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 ID3274944970
PECOS Enrollment IDI20201202000978
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Sarscov2 vac 30 mcg trs-sucr 91305
The Sarscov2 vac 30 mcg trs-sucr is a COVID-19 vaccine. It's designed to help your body develop immunity against the SARS-CoV-2 virus, which causes COVID-19. The vaccine stimulates your immune system to recognize and fight the virus without causing the disease.
56 services56 patients
Adm sarscv2 30mcg trs-sucr b 0054A
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
55 services55 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
52 services52 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
49 services49 patients
Intravenous injection, bebtelovimab, includes injection and post administration monitoring M0222
Intravenous injection of Bebtelovimab involves injecting this medication into your vein. It's used to treat specific health conditions. After the injection, your health status will be closely monitored to ensure the medication is working effectively and to check for any side effects.
41 services41 patients
Injection, bebtelovimab, 175 mg Q0222
Bebtelovimab is a medication given via injection to treat specific viral infections. The 175 mg dosage is administered by a healthcare professional. It works by helping your body's immune system fight off the virus.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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.

Physical Therapist
725 AMERICAN AVE
WAUKESHA, WI 53188
Hospitalist
725 AMERICAN AVE, WAUKESHA MEMORIAL HOSPITAL-HOSPITALIST GROUP
WAUKESHA, WI 53188
Radiology (Vascular & Interventional Radiology)
725 AMERICAN AVE
WAUKESHA, WI 53188
Radiology (Diagnostic Radiology)
725 AMERICAN AVE
WAUKESHA, WI 53188
Radiology (Diagnostic Radiology)
725 AMERICAN AVE
WAUKESHA, WI 53188
Radiology (Diagnostic Radiology)
725 AMERICAN AVE
WAUKESHA, WI 53188
Radiology (Diagnostic Radiology)
725 AMERICAN AVE
WAUKESHA, WI 53188
Radiology (Diagnostic Radiology)
725 AMERICAN AVE
WAUKESHA, WI 53188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669071809, enumerated as an "individual" on October 20, 2020.

The provider is located at 725 AMERICAN AVE WAUKESHA, WI 53188 and the phone number is (262) 928-1000.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.